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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received D�, <br /> Phone Contact for Permittin <br /> Owner's Name C�� ,H � Owner Phone Number <br /> Owners Address CJ � Owner Phone Number C <br /> Fee Simpie Titieholder Name � Owner Phone Number C <br /> Fee Simple Titleholder Address s/���� <br /> JOB ADDRESS `7'�„�� ��� �� I L07# � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> wORK PROPOSED NEW CONSTR D/ALT � SIGN � 0 DEMOLISH <br /> � INSTALL 8 EPAIR <br /> PROPOSED USE Q SFR COMM � OTHER <br /> TYPE OF C�NSTRUCTION Q BLOCK Q FRAME 0 STEEL Q I <br /> DESCRIPTION OF WORK ��///L�1/�`'`��/��%`'�� /�'f� l��L��j�n <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPL�BING $ �f� <br /> . ,/ / (�' <br /> t <br /> ���r <br /> QMECHANICAL $ �j�„ VALUATION OF MECHANICAL INSTALLATION �� � �� <br /> �C.CJ <br /> OGAS Q ROOFING Q SPECIALTY � 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# �i�C�����8`� <br /> ELECTRICIAN � � COMPANY <br /> SIGNATURE � REGISTERED Y! N FEE CURREP Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL r COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address � / � %� License# �� l/ + <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&1 dumpster;Site Work PeRnit 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 ten(10)working days after submittal date. Required onsite,Conshuction 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 consUucUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appltcation,notarized <br /> If over 52500,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 /> OVER THE COUNTER PERMITTING (Front of Application 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 />