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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 .,.`.c� 'l� �`-�—� ,� .-� c3�5� t <br /> Owner Phone Number '� 3 - 1p`7��o' <br /> Owner's Address ,j � � .� 5 �- . �� . (� <br /> Owner Phone Number � <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> e <br /> JOB ADDRESS� ��I � �(� ,� ,-� �r <br /> LOT�Y �� <br /> SJBDiVISION _ PARCEL ID# <br /> W�OR�(PROPOSED B (�BTAINED FROM PROPERTY T/UC NOTICE) <br /> , NEW CONSTR 8 ADD/ALT [� SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE a'F CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �-�.v�L `� � � `i <br /> �' � � <br /> BUILDING SIZE SQ FOOTAGE� <br /> HEIGHT <br /> QBUILDING $ .� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ � -���" � <br /> VALUATION OF MECHANICAL INSTALLATI�N <br /> OGAS [� ROOFING Q SPECIALTY <br /> �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> ----..._ <br /> S GNATURE ��"i � COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREP Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> OTHER COMPANY <br /> SIGNATURE <br /> 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 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 subdivisions/large projects <br />�OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructlon. <br /> Minimum ten(10)working days after subm(ttal 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 /> iIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY required for all NEW construction. <br />)irections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appHcation,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) <br />' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> IVER THE COUNTER PERMITTING (Front of Appllcation Only) <br />:eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />