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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> ' Phone Contact for Permittin _ <br /> Owner's Name ��,5/9 ?rT � Owner Phone Number <br /> Owner's Address �I Q� / ,�� Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS �Z D� � LOT# C� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/AL� � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK L�/l,I1fJ� lS UI/Y!T ��I /L J'/�jr✓GGC—,f <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ � OD � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> . <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> �PLUMBING $ <br /> � fS���� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS � ROOFING Q SPECIALTY � OTHER � 2 � 2� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> Llcense# <br /> OTHER � (l'/�//IP' /�OOG//✓�' <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address (� �i j��3 Q Q� �'.l�7 License# ��'f1�2 /� <br /> RESIOENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Fonns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Sife Wo�ic Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMiT Attach(2)sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br />"' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />