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` 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ��`�i�� Building Department <br /> Date Received Phone Contact for Pertnittin — <br /> Owner's Name � Owner Phone Number ' 7 �� ' /�a�sy <br /> Owner's Address 7 7 t�?��"/ ^ Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> , l �JOB ADDRESS 7 � �O �� „ � S S�°` LOT# <br /> SUBDIVISION �/� � PARCEL ID# ()„3° � ".�/- �/,f—�- �D • C1! <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� L -� <br /> BUILDING 51ZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> �MECHANICAL $�/�,/� � VALUATION OF MECHANICAL INSTALLATION <br /> r'� <br /> �GAS Q ROOF�NG 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/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � COMPANY � �'/� /�/ C C-pi�t ��'� <br /> SIGNATURE 1Ce - REGISTERED N FEE CURRE� Y/ <br /> Address � - tJ'- / ' /• 3 oZ S License# e/Q e � �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Athach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Aftach(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 subm(ttal 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 compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "`"PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out applicatlon completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over:7500) <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(PfoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />