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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 't" ( /� � Owner Phone Number ! � �"f �� p <br /> Owner's Address ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � _� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t-- I Q LOT# � <br /> SUBDIVISION ��� �.� 04 PARCEL ID# ' l(1'� I '('��— W�� 'Ud p� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK C �- C b � \ J � .` _ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL � � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> Q PLUMBING $ � ! , j/ � � <br /> /// <br /> �M'ECHANICAL $ • I VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> Q GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES 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 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � 1 � <br /> License# <br /> MECHANICAL � ` COMPANY r�'� � <br /> SIGNATURE �-- REGISTERED Y/ N FEE CURRENT `Y/N <br /> Address `.Q}� � �� .� �,Q J <br /> License# <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 <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> All commercial requirements must meet compliance. <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*PROPERTY SURVEY required for all NEW construction. <br /> D�rect�ons. <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=5000) <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 Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />