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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 � Owner Phone Number •� � �� <br /> Owner's Address � • C (� �'�o� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��3� �Q� :.R� • �- � 3S`i� LOT# �� <br /> SUBDIVISION � PARCEL ID# 11 Z�.Q• Z�� Q���' IZ-1� • �(� \ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NSTALLSTR 8 REP AR � ��GN��� Q DEMOLISH <br /> ,c_e <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK [� FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �. O� `; F-� �I�C;(�� �q �� �` <br /> BUILDiNG SIZE SQ FOOTAGE� MEIGHT <br /> �BUiLDING $ ��2/ --- VALUATION OF TOTAL CONSTRUCTION <br /> C,IQ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � " <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES 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 CURRE� Y J N <br /> Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y l N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER COMPANY _ 1 1/�1 �1� . <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address ° 3"'l- , 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 subdivisionsRarge 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 compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarfzed <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> •• Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppHcation 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 />