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'813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Bufiding Department <br /> Date Received ""` � Phone Contact for Permittin __ <br /> Owner's Name C t � Owner Phone Number <br /> Owner's Address � ��r` e � !' Owne�Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> �l�l / `1 '`� S% �" <br /> JOB ADDRESS �C •�, �� I� � Z LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN C] Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [_] STEEL Q <br /> DESCRIPTI�N OF WORK ����r �� r� 6 L,� I�,c. � L� ' -�, � �.� �� �b e I� <br /> BUILDING SIZE �— SQ FOOTAGE HEIGHT <br /> OBUILDING S � VALUATION OF TOTAL CONSTRUCTION <br /> aaa <br /> [�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a <br /> � �� l <br /> � �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO <br /> �GAS Q ROOF�NG Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER J � COMPANY TL C !<.v� ,,,� � �� � <br /> SIGNATURE • REGISTERED Y/ N FEE C REA 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 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 AtNach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far 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 subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fom►s.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,StoRnwater 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 consUuctton. <br /> DirecNons: <br /> Fill out application completely. <br /> Owner 8 ConUactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is rsqu(red. (A!C upgrades over=T500) <br /> '" Agent(for the contractor)or Power of Attdmey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaSon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter it on public roadways..needs ROW <br />