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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received , � _ / �- <br /> i Phone Contact for Permittln _ <br /> Ow�er's Name ` �'l �°6� �'/ � ,�jv/f�f,�„/ Owner Phone Number �/��� <br /> Owner's Address �'' Owner Phone Number ��j�`���-�U,,ZJ <br /> Fee Simple Titleholder Name Owner Phone Number -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V� �' (J'Z � � <br /> LOT# <br /> SUBDIVISION , PARCEL ID# �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q (-- <br /> DESCRtPTION OF WORK G G � � d"� � ..�. `,�,,� F( -•,�(y <br /> r <br /> BUILDING SIZE Q � SQ FOOTAGEL���] HEIGHT /SL'� <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE ���. 'FROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ �� <br /> \� � �j.� � a <br /> �'JMECHANICAL ,r� <br /> � _ $ L--' �,VALUATION OF MECHANI INSTALLA ION �,,• <br /> '� �.� . � . <br /> OGAS Q ROOFING ��n <br /> Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY t� `� - ��� <br /> SI NATUgE� " <br /> � REGISTERED Y/ N' FEE C E� Y/N <br />�`-----_..._. ,'_ <br /> Address 3 t�� 02(�- f_ �T'�•} <br /> License# ��E���ZZZ �j <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL �Aw � COMPANY ��G � � j(�C� <br /> SIGNATURE -��(_, REGISTERED Y/ N FEE CURRE� -j` <br /> Add�ess �60� �.�Q�S r"� ;��� License# �- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 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 /> 5anitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered Plans. <br /> '""'PROPERTY SURVEY required for all NEW construction. <br /> �Tiii�ri�i��������� <br /> Directions "�"-"'-'1<<�++�T <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publiE roadways..needs ROW <br />