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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � �r�^ � r D� ��„� <br /> ll <br /> Date Received � Phone Contact for Permittin � � �� _ � L <br /> Owner's Name /� � '�T�1 �1 y�t f�`� 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 ��,��� � Z ry � LOT# �� <br /> SUBDIVIStON �- PARCEL iD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CoNSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �'e �� Z r �,N � `1 � � <br /> BUILDING SIZE � $Q FOOTAGE� HEIGHT �� <br /> UILDING $ /��LD� VALUATION OF TOTAL CONSTRUCTION � I ,(n j� <br /> 1� /��'t� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> /� � <br /> �PLUMBING $ �� G .rl � �� L� G� _�,9c�y.:- ���'-��G�G� <br /> � � �)�,0 rs 1��, <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j� � <br /> ' �e�e( �c�� �ac <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � ����F� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � " a� ��� <br /> h <br /> � <br /> BUILDER . `�� COMPANY J'I P� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 I 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)wo►king days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence i�stalled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 constructfon. <br /> Minimum te�(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 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 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over a7500) <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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />