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813-780-0920 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ���Y+�� �j (� 3 �� _ �j 21 <br /> Phone Contact for Permittin b p ✓ <br /> Owner's Name �-�v"T'i N1 � �j�j.Q/�1� Owner Phone Number ���'] b • �3� 1 <br /> Owner's Address J J Owner Phone Number � <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 � I LOT# � 6 �7 �� <br /> SUBDIVISION � � . PARCEL ID# � � `"7-6 "��-O'O�D•O`c�bCJ�--OI �O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR[, ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL �o� REPAIR <br /> PROPOSED USE � �FR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C] STEEL Q <br /> DESCRIPTION OF WORK �V OH � f� �A� �?.l'Q`�� <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> �BUILDING $ �`� S+�� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY O W.R.E.C. <br /> �PLUMBING $ �/ �( S/� <br /> �/ Z � � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .— �)dU� <br /> U �- <br /> �GAS Q ROOFING Q SPECIALTY � OTHER % 2� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NTY <br /> BUILDER �� I�� ��J���Q� f� � <br /> SIGNATURE � �OMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� C)`�'� � � ���� License# C'' e— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 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)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 submittai date. Requi�ed onsite,Construction Plans,Stormwater Plans w/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 construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />