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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - -- <br /> �� Phone Contact for Permittin --:—�" - <br /> Owner's Name .� ��2 cJ i Ne c �� Owner Phone N er �� �'��� <br /> Ow�er's Address �`l� J � � Owner Phone Number <br /> Fee Simple Titleholder Name pT• � Owner Phone Number � <br /> Fee Simple Titleholder Address J �``� 3 • �""Y ' <br /> JOB ADDRESS � � � � �n Z� � 7 ��( � LOT# � <br /> SUBDiVISION PARC # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � �� DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL Q [ <br /> DESCRIPTION OF WORK �3 � �� � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT - � � <br /> BUILDING $ L ATION OF TOTAL CONSTRUCTI <br /> _ �j � <br /> DELECTRICAL $ AMP SERVICE Q OGRESS ENERGY Q W.R.E. . <br /> �' <br /> OPLUMBING $ ---.-._ � �' <br /> ------��2 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO�D ZONE AREA QYES NO <br /> �v <br /> � <br /> BUILDER � • . -� COMPANY - <br /> SIGNATURE �`-GG 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# C � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL � � COMPANY <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# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary FacfliNes 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit 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 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,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 Appflcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />