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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � , Building Department <br /> Date Received .��- � � �--7 phone Contact for Permltting - <br /> Ow�er's Name � � T Owner Phone Number ��.3 � �,3 <br /> Owner's Address � � 7 �� /S J'`%2 Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � 7 � �S-� LOT# � <br /> 00 <br /> SUBDIVISION , PARCEL ID# �1 .� �v �0� 6 U O O O O O n C� C> Jr'O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK //�� � �� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS EfVERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ � / � � / (� � ` <br /> � VALUATION OF MECHANICAL INSTALL�(TION 3 � <br /> � � <br /> �GAS 0 ROOFING [� SPECIALTY 0 OTHER +�l` �� /,r <br /> �-.....�....._.._.._.--,.- <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 <br /> License# <br /> MECHANICAL i� �� . COMPANY j�r� S ' �� <br /> c�'Yc G{�1 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address /d o2 � /�'1�` ,jQ/ �� S`oZ S� �icense# C�L n S,S s' �S— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ 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,Construc6on 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 construc6on. <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. (A!C 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 ot 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 />