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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date R�ceived' S f� / � � ��7 --�� i� <br /> Phone Contact for Permittin G. <br /> Owner's Name / Ds7/L o�J Owner Phone Number �/ ,3 ^ 7� �- 5/� <br /> Owner's Address q v p -�S /4 � Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN O I� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER [-- <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK `/q C,e Z y�',�T �� /�-�j j�.P� <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT —�— <br /> � <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ �� <br /> /I � 1 <br /> MECHANICAL $ 7�qS�a VALUATION OF MECHANICAL INSTALLATION � � <br /> J � <br /> �GAS Q ROOFING [] SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# C � <br /> MECHANICAL n�f"" COMPANY a��[S ��a A�£ G�i'.S �/��� <br /> SIGNATURE �" REGISTERED Y/ N FEE CURRE� Y/N <br /> Address /�/ /�l £,rv z-/, ,3�5��� License# I G��oy3y y� -� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# C <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 Facilities&1 dumpster;Site Work Permit for subdivislonsAarge 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 submitta�date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet wmpliance <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 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over;7500) <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 />