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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '�� " Phone Contact for Permittin -- <br /> owner's Name / .�/ <C"t �� , / Owner Phone Num r ]3 �' ���Z--3J� J <br /> Owner's Add�ess �7���� �i��L (� Owner Phone Nu ��� '" ��J'— [�✓Q,Ea <br /> Fee Slmple Titleholder Name �— � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �7 S C.�%�• ��/tI'^ 7!'c[ J� ,�,3 S� LOT# � 7 7 <br /> SUBDIVISION �V/��� j��/��-'✓ A L ID# `.�(�� �I ~ ��`��i Jc�� <br /> �` ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � L �vv � <br /> BUILDING SIZE �^b k � `tv SQ FOOTAGE I�%i�I HEIGHT <br /> BUILDING $ �` �r VALUATION OF TOTAL CONSTRUCTION <br /> fP <br /> ELECTRICAL $ AMP SERVICE <br /> 0 Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �� �Z�' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY Q <br /> SIGNATURE 1 REGISTERED Y/ 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 /> 31GNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address Llcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y!N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Facilides 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence instatled, <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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over SZ500,a Notice of Commencement Is required. (A!C upgrades over 57500) <br /> '" Agent(for the conUactor)or Power of Attome�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveyJFootage) ` <br /> Driveways-Not over Counter if on putilic ro8dways..needs ROW <br />