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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pe►mittin - <br /> Owner's Name i�(..h(�, •a � ' � -.� Owner Phone Number <br /> Owner'sAddress � � '� �yt;(�� �(� �� � �1 GU�O�wnerPhoneNumber -1 <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � � LOT# �� <br /> SUBDIVISION �- PARCEL ID# �����-� 6�'�"0 L�5�1G'-Z.tS � <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 0 STEEL Q <br /> DESCRIPTION OF WORK �}ZpCJ Q� ,3. �Q � . �,y � �Q � � ��W� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ��`C AMP SERVICE 0 PROGRESS ENERGY C] W.R.E.C. <br /> QPLUMBING $ � <br /> QMECHANICAL $ � �} vU VALUATION OF MECHANICAL INSTALLATION ,�'I � <br /> �J � <br /> QGAS � Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ' � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �, l.icense# � <br /> ELECTRICIAN �^ r . COMPANY ' (f� 1� �1 C d- K ('I "e'�� � 6 � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 1 .L� 335N� License# L' GUb �_�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> c <br /> Address License# <br /> MECHANtCAL COMPANY ��lk-Q lkC f tC (� (� ��� �U � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � / �lJ License# C' (�ss ' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas 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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaclBtles 8 1 dumpster;Site Work Pertnit for subdivislonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a tife Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction. <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 Pennit 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 E2500,a Notice of Commencement Is required. (A/C upgrades over s7500) <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 />