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813-780-002C1 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permfttin S,2 sa / _ y� �� <br /> � /.� /S <br /> Owner's Name Owner Phone Number (p � a� <br /> Owner's Address f _���y� /�� �v( Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� �!i 7 `� i�� ,.� LOT# �� <br /> SUBDIVISION �,.� r� o»S PARCEL ID# y" �5 "07�' � / �L� - (�-. �9�j} <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTtt 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK !/ �� tp ,y` � C�� � ? � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �— <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL ($s ��OD� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> L <br /> QPLUMBING $ � ; <br /> MECHANICAL �I ��`�� <br /> O $ VALUATION OF MECHANICAL INSTALLATION <br /> �� � .� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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 Lfcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> MECHANICAL /�� 9 ' <br /> COMPANY / S " ,�/C C U�7 _�� r/� <br /> SIGNATURE (� �/. 2� /J REGISTERED Y N FEE CURRE� Y 1 N <br /> Address i✓ U/ c�Z ` � 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. Requi�ed onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians 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 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 construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notartzed <br /> If over i2500,a Notice of Commencement is required. (A/C upgrades over:7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />