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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin, -- <br /> Owner's Name ry�/taus ,/,c Owner Phone Number C p°.(- -ti334,t <br /> Owner's Address l ' R v S \- (')\1 S�el Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 323--158 ���(��1 �� LOT# <br /> SUBDIVISION e. Grov e, PARCEL ID# O oa').6 ■ oui 0 cc Qoo 603 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM OTHER I <br /> TYPE OF CONSTRUCTION I-1 BLOCK n FRAME STEEL n I <br /> DESCRIPTION OF WORK ,A (l.., \ e� C1110 e,W A\-- <br /> BUILDING SIZE SQ FOOTAGE ) HEIGHT <br /> []BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS RGY n W.R.E.C. <br /> (PLUMBING $ <br /> / �// fi <br /> MECHANICAL $ / t � rte° VALUATION OF MECHANICAL INSTALLATION o <br /> GAS I I n : SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I YIN I <br /> Address I J License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I V/N <br /> Address I License# I <br /> MECHANICAL CJ 1 /i /J COMPANY /'*1 'l r C�FEE CURREN y,N % t(I t rn <br /> SIGNATURE 99" L. REGISTERED /� I ` I p <br /> Address I NI Q Al s 01nel/ r>l.:t, I License# C AC`8q-.1 l_8 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address I License# <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&1 dumpster;Site Work Permit for subdivisions/large 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,Construction 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&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 NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />