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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> -r <br /> Date Received Phona Contact for Permfttin p�3 �� `� __ �,S ,3 7 <br /> Owner's Name sj'l j� Owner Phone Number D� -� z - �3 <br /> Owner's Address �S�oZ�c �o�-.tir� Owner Phone Number g�,3'-7� es 9� <br /> Fee Simple Titleholder Name �- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c�O�F� � - LOT# �� <br /> SUBDIVISION �- � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> OBUILDING $ � r-j� (g,,0 VALUATION OF TOTAL CONSTRUCTION <br /> 6 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 0 �`�\!/(� � <br /> PLUMBING $ <br /> MECHANICAL $ VALUATI t �� �'" <br /> � ON OF MECHANICAL INSTALLATION �/ G���� <br /> � �� <br /> QGAS 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 <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 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y I N <br /> Address License# <br /> OTHER `� � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address .3� � License# Ce C -Q��? T��-- I <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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 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 construction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"""PROPERTY SURVEY requtred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarfzed <br /> If over 52500,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 sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />