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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 Permlttln _.. <br /> Owner's Name � � � � , .Q 7y1,� �' .���ner Phone Number <br /> Owner's Address ��3 f �"`r h �.e� � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � —� <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS � � CCV�r ( ✓� LOT# � <br /> SUBDIVISION PARCEL ID# 3 2b�� 0�10 (�`-,�t�63 3a —� <br /> (OBTAINED FROM PROPERTY TaUC NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK �Qp�;�,Q �lvv /�Yuin /1�lQtut �1 V'pa��r�l- �vx Pa.c�.�� 1 <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � , <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> /�a� <br /> �ELECTRICAL $ AMP SERVICE ��� Q PROGR ERG'Y� W.R.E.C. <br /> QPLUMBING � ��� <br /> QMECHANICAL $ VALUATION OF MECHANICA STALLATION l � <br /> OGAS Q ROOFING Q SPECIALTY � OT f ---'—""—��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY � � �^rC �` , ✓� ��� «� <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# 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. Requfred onsite,Canstructfon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FadllUes 8�1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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 8 1 dumpster.Site Work Permft for all new proJects.All commercial requlrements rr�ust meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over=2500,a Notice of Commencement is►equlred. (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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />