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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> d'ate Re'ceived <br /> Phone Contact for Permittin <br /> r`� � <br /> Owner's Name ( o Z �j,l j f <br /> Owner Phone Number <br /> Owner's Address �� �� 5�" Z 7 /� ,��/i r�j Owner Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � / /�9 f�Cl.tJ(",� (��. Z� <br /> LOT# �] <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � pl`" � ��j��� <br /> BUILDING SIZE �9Q FOOTAGE �v �F HEIGHT ' <br /> OBUILDING $ <br /> f 7�(? VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.0 <br /> QPLUMBING $ <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �J � � <br /> /� <br /> OGAS Q ROOFING Q SPECIALTY [� OTHER -'" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES <br /> BUILDER <br /> SIGNATURE COMPANY r �(��'� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,s'0 q f rq�/�,v ---� <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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# � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ 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 Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit 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 consUuctlon. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 of appiication,notartzed <br /> If over 52500,a Notice of Commencement is requlred. (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 ApplicaUon Only) <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 />