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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �(� - L' ZG ' � � _ <br /> Phone Contact for Permittin <br /> Owner's Name ���1c.�IJ� rc�Yr�l I En�-er r��� ��� pWner Phone Number 0�{- a��j� 13�� <br /> L�7�A _ �t� <br /> Owner's Address iW 'la G�. e�Wner Phone Number � <br /> Fee Simple Tltlehoider Name f���a �— <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�IO`] �j� , � <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> � (OBTAINED FO PROPERTY T�ncEl DEMOLISH <br /> WORK PROPOSED � NEW CONSTR ADD/ALT SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � � � '�' g�-�� C � G � ' <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �_� <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> �AECHANICAL $ - VALUATION OF MECHANICAL INSTA TION �� ��� <br /> O Fi�� ( � <br /> OGAS Q ROOFING [� SPECIALTY � OTHE <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO f <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/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —� <br /> MECHANICAL " <br /> COMPANY �I'(�T�� � �,� D� S� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address .0 (�jbX 11a.p "z.EPI-}y�{�US , �I• 3�,5�y �icense# C/�C ��\�jt-j �(� <br /> OTHER COMPANY <br /> SIGNATURE f2EGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 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 Forms.R-O-W Permit for new construction. <br /> Minimum te�(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 /> aIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"*"PROPERTY SURVEY required for all NEW construction. <br />)irections: <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 57500) <br />` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br />)VER THE COUNTER PERMITTING (Front of Application Oniy) <br />;eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />