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813-780-0020 City of Zephyrhills Permit Application <br /> � ' Building Department Fax-813-780-0021 <br /> Date Received <br /> Phone Contact for Permittln <br /> �wner's Name �� a,� <br /> Owner Phone Number <br /> '�iOwner's Address � � � <br /> ` � � Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> f,� JOB ADDRESS 3' �S. � N e�.,� � z 7 n U j l V ' <br /> LOT# � <br /> c�SUBDIVISION (Jy,� � - <br /> z � b � , PARCEL ID# <br /> WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR� ADD/ALT � SIGN <br /> INSTALL REPAIR � 0 DEMOLISH <br /> PROPOSED USE � SFR � <br /> TYPE OF CONSTRUCTION COMM [� OTHER <br /> 0 BLOCK Q FRAME � STEEL � <br /> '��DESCRIPTION OF WORK ����- p �� � �,,�b �( ,�� I� i � <br /> h t G, b��C 3 t�b � �� l� <br /> BUILDING SIZE <br /> SQ FOOTAGE HEIGHT <br /> " BUILDING <br /> � o <br /> •��DU '�� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ <br /> AMP SERVICE <br /> L� PROGRESS ENERGY <br /> �PLUMBING 0 WR.E.C. <br /> $ <br /> �MECHANICAL $ '— <br /> VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING � SPECIALTY -7 <br /> FINISHED FCOOR ELEVATIONS CJ OTHER <br /> FLOOD ZONE AREA �YES NO <br /> �UILDER <br /> SIGNATURE --�� COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Address � 6 � �l� n C Y/N <br /> ��J c � �� r J �ZJ .�icense# L � � � <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGIS7ERED Y/ N <br /> FEE CURRE� Y/N <br /> Address <br /> License# � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N <br /> FEE CURRE� Y/N <br /> Address <br /> License# �_ <br /> MECHANICqL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N <br /> FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N <br /> FEE CURRE� Y/N <br /> Address <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. Required onsite,Construction Pians,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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered 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$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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />