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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �i��� 3 f� � �/ <br /> Phone Contact for Permittin � ��- ip / D <br /> Owner's Name � �� Owner Phone Number <br /> Owner's Address � L �, y .s� �Z. -��l I Ow�er Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (,. � r� ,S j Z � r �,, t r 3,3 LOT# C� <br /> SUBDIVISION PARCEL ID# 2��'�� D��� � ��C 7U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R� ADD/ALT [� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK f�.i.'Y QU�.•�"� .:� 3Q �� �,;!, � �c, I`��j,C �`�( , <br /> +� <br /> •^�t ' �' � j ' r'�r� <br /> BUILDING SIZE 3Q FOOTAGE�� HEIGHT <br /> QBUILDING S ��Z 5 '° VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �,� �� �� � <br /> � �1� �. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,iD` � <br /> �v <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER (_.U���L��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �(� ��L� <br /> � �� LL <br /> BUILDER � �� COMPANY L l�,p c� � <br /> SIGNATURE �.. REGISTERED Y/ N FEE CURRE Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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 FoRns;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 Facilit(es 8 1 dumpster;Site Work Permft 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 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 constructton. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over:2S00,a Notice of Commencement ia required. (A/C upgradea over 37500) <br /> " Agent(for fhe 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 AppUcation Only) <br /> Reroofs if shingles 5ewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />