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813-780-0020 City of Zephyrhills Permit A lication <br /> PP Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittln <br /> Owner's Name � /��s C� ,�'�� � <br /> Owner Phone Number <br /> Owner's Address �P 3� �l LI/�/� �/g( � Q� Owner Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1p.S�-� �/L-t/L� �(�� �. �� <br /> LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR � ADD/ALT �� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR COMM <br /> 0 � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � �(1.r7�/1/`:.. �[9/�j,. �- j,U���` ��/� N�/��{�/�"�/ �.,��.41�-L�..�� <br /> BUILDING SIZE SQ FOOTAGE�� <br /> HEIGHT <br /> [�BUILDING $ � <br /> ���� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � <br /> PROGRESS ENERGY - W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ 1� � <br /> VALUATION OF MECHANICAL INSTALLATION � <br /> [�GAS � ��'�� <br /> � ROOFING O SPECIALTY C� OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO /1�� � �3� <br /> l� <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# r <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> Lfcense# <br /> � � Y <br /> SIGNATURE ��L ��—'�'� COMPANY ��(l��'" /i Od,�j���• <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �,� �� j ��'� � �;' G� f� � �U �C <br /> 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <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 8 Contractor sign back of application,notarized <br /> If over$T500,a Notice of Commencement is required. (A/C upgrades over;7500) <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 public roadways..needs ROW <br />