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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received I -- � -( 3 Phone Contact for Permittln `,� � <br /> Owner's Name /u c� /I' Owner Phone Number <br /> Owner's Address J 7 �7y► � Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS 7 U ��7� f LOT# �� <br /> SUBDIVISION Zs � J,'I� PARCEL 1D# ��" - ��D6/p -(��'/OU - G,�/U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e N TALLSTR 8 REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK "��� � ,�,,,f � i��t� - <br /> BUILDING SIZE �— � SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ /D Z VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �,.--- <br /> QPLUMBING $ � <br /> /C/L� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � - t ( � <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � `�1 <br /> � ' .�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO /1+ �(1('/� <br /> U I ..✓. <br /> BUILDER / 1� COMPANY ��" e�/ �✓o�IO� o !� /� � <br /> SIGNATURE �-^ � REGISTERED / N FEE�.('ctlftRE� <br /> Address ��� l���i�„' ll� ,� Li nse# �G �/� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N F CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address Llcense# <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)wo►king days after submlttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadUtles 8 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&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 construcUon. <br /> Directtons: <br /> Fill out applicatlon completely. <br /> Owner�Contractor sign back of application,notarized <br /> If over i2500,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 Appflcation Only) <br /> Reroofs if shingles Sewers Servlce Upgrades AJC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />