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813-780-002C� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date lieceived, ��� � Phone Contact fo�Permlttin ��J 8 Z � �� <br /> Owner's Name /C D r nJ Owner Phone Number 7 — g�� <br /> Owner's Address � r3 b z � //'/�.Q� ' L ` �j' Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS , LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTtCE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BIOCK � FRAME � STEEL Q <br /> DESCRtPTION OF WORK /��.� �/G G ���' <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI. $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> IECHANICAL $ � ��o VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# C —� <br /> MECHANICAL � �y , COMPANY ���/1 f /�o �✓f q.�' �--4 � rfyG <br /> SIGNATURE G�� REGISTERED Y/ N FE CURRE� Y/N <br /> Address y�`�// ����� .f1� ,/� 3�-s% License# �[Q Y,39 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Petmit for new construction, <br /> Minfmum 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 subdivlsionsllarge projects <br /> COMMERCIAL Attach(3)wmplete 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. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary Facilitles&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 ot application,notarized <br /> If over E2500,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 of AppUpUon 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 />