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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 Permitting =3�� 5�.+� __ (p )I 1 <br /> Owner's Name �S�7,( t e �Q,� Owner Phone Number ��2 � �� �' �� Qj�Z- <br /> Owner's Address o�Jd 3 {"� ��� ,� �L Owner Phone Number � � 3 ' �� � y � �(o �J�i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S.�i� �L �"I � ��}� ZQ h C ; � j FL LOT# � <br /> SUBDIVISION PARCEL ID# �( '��'"�� 'v01 G � I�7�1��� - Da 1 j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER �_ —� <br /> TYPE OF CONSTRUCTION 0 BLOCK � FRAME 0 STEEL Q OTHER <br /> DESCRIPTION OF WORK �'(-� �AL-C'- A�(C � ' S '� ��� Ti✓ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> MECHANICAL -�( % r✓� <br /> 0 $ 1� .� � pO VALUATION OF MECHANICAL INSTALLATION � <br /> c> J <br /> 0 GAS 0 ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Lice�se# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANtCAL COMPANY SGU�he�n �i`C)�pt{, L�s1'� =t'�C� <br /> SIGNATURE L���� REGISTERED Y! N FEE CURRENT Y/N <br /> Address "(,Q� C� �5� ,�.bS�� �L � ��� � License# � A C i 8 t 3 5 '1 g <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 w/Silt Fence installed, <br /> Sanitary Facitities&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 /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over b5000) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />