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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 i O(,� � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS G� C7 -��'Lti/vt f� _J� �p /� '� ��� LOT# �� <br /> SUBDIVISION PARCEL ID# �" � '� Zt -6oZ�� U�Sp O- �D U <br /> (OBTAINED FR�OM PROPERTY TA�rice)DEMOLISH <br /> WORK PROPOSED NEw CONS7R ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��5 �( ��� "�G�� rtQ'+-�,� _ D(,Z°,�GlL°ct� ��@=' ��-!1«- _P <br /> BUILDING SIZE �---1 SQ FOOTAGE C� HEIGHT —] <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ / OG c AMP SERVICE �nU �'� PROGRESS ENERGY Q W.R.E.0 <br /> G. p <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � ���� 7 <br /> �GAS Q ROOFING Q SPECIALTY [� 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# � <br /> ELECTRICIAN COMPANY ���J Clcis� '� CL vv <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address (3 License# �C^-4U G-2`��l� <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 I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I 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,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit 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 construction. <br /> Minimum ten(10)worfcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilittes 8�1 dumpster.Site Work Permit for all new projects.All commerciai 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 E2500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />