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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �2— .�—1 3 Phone Contact for Permittin �� G� -- �O � <br /> Owner's Name r� �A Owner Phone Number <br /> Owner's Address a� ( f Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � ( l�� J LOT# � <br /> SUBDIVISION PARCEL ID# ��'�6 'a/ " d 0�0 '/�/�� ' ���� <br /> (OBTAINED FROM PROPERTY 7'AX NOTICE) <br /> WORK PROP05ED B NEw CoNSTR B ADD/ALT 0 SIGN � I� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER � <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 I <br /> DESCRIPTION OF WORK I1J 1�l�0 bJ f�i y��/N�r7 //)� 7�� lI J!^ � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ ✓ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i'��� f� <br /> (��,r�� 7�� <br /> OGAS 0 ROOFING 0 SPECIALTY 0 OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � <br /> BUILDER � � � i COMPANY 'U�''rd�s,/ h/c�� o� � /l �� <br /> SIGNATURE REGISTEREO Y N FEE CURRE� '/N <br /> Address 0 ��(j;,i�;/ �y - License# C��/�y9 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERE� 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 <br /> SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N <br /> Address License# C <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,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 F'ermit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fe�ce 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 construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8�Contractor sign back of application,notarized <br /> If over$2500,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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on pubfic roadways..needs ROW <br />