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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 �'1'�Q � �• � ,�,L <br /> Owner Pho�e Number �{ ("j � � - � S�� <br /> Owner's Address 5 � � �� � �� <br /> Owner Phone Number � '�{ �'� � D <br /> Fee Simple Titleholder Name (� � <br /> Owner Phone Number � <br /> Fee 3imple Titleholder Address r <br /> JOB ADDRESS � L� 5 - 1 <br /> � LOT# ( 1 �� <br /> SUBDIVISION PARCEL ID# � � '�,O ' � � " �O`� � ( � 3�o _�� �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR 0 O DEMOLISH <br /> PROPOSED USE � SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME C� STEEI � <br /> DESCRIPTION OF WORK R c`(' 4-('�p i1T I t� <'� (.2 ehd � �y'lc <br /> BUILDING S12E SQ FOOTAGE� HEIGHT �— <br /> [�UILDING $ <br /> ( 5�. VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> [�MECHANICAL a �t( 36 9 � <br /> VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY <br /> �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> /g UILDER c /� n e� <br /> `�SIGNATURE / �' `� COMPANY Q Q` � � <br /> 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 License# C <br /> OTHER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Piot 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 Fac(lities&1 dumpster;Site Work Permit for subdivfsions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. <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.Stte 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 consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Gommencement is requtred. (A/C upgrades over ST500) <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 />