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813-78Q-0020 City of Zephyrhills Permit Application � � Fax-813-780-0021 <br /> Building Department ��'�' �� <br /> Y' <br /> Date ReFeived � t��� _- ���� <br /> Phone Contact for Permittin <br /> Owner's Name �� �'�� Owner Phone Number �pj f 1� <br /> Owner's Address , ���p �Q� Z �, Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � �� � � � � <br /> LOT� <br /> SUBDIVISION PARCEL ID# � I Z�' Z` •(...�j �, ' ���Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � Q DEMOLISH <br /> INSTALL 8 REPAIR �,.� � I�� <br /> PROPOSED USE � SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME [� STEEL [� <br /> DESCRIPTION OF WORK � � � .�� �� �'n i <br /> ,.7' ) <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> �BUILDING $� VALUATION OF TOTAL CONSTRUCTION <br /> ) '_ <br /> [�ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � 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 CURREA 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 CURREP Y/N <br /> Address License# � <br /> OTHER COMPANY Q�}(�jT1, <br /> SIGNATURE � REGISTERED Y/ N � FEE CURR Y/N <br /> Address - �t. �' Sy 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�icing days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&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 wnstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater 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 consUuctton. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer 8 Contractor sign back of appiication,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 AppUcaUon Only) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />