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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bufiding Department <br /> Date Received , <br /> � Phone Contact for Permittin __ <br /> Owner's Name ��1 (�M � Owner Phone Number �^�al� —�� <br /> Owner's Address �' � `4�/ �I��C � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS 7 �/`�� �/ C r�C Q � <br /> LOT# <br /> SUBDIVISION � �i�l/� � U' PARCEL ID# �� " ��`"� '�l �--� "�QO��'���(, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT [� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q r <br /> DESCRIPTION OF WORK ��COIfPI�- �Q�i Q l�MP � �I �'�p� yV,'f-� � ��/L me� �� ���f <br /> "{ SQ FOOTAGE !� � _ y' � <br /> BUILDING SIZE HEIGHT � S�� <br /> �BUILDING $ ��i O <br /> r, (�. QU VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> .� i��s� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING [�] SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i / C <br /> SIGNATU x��'��"�""\ �.. u COMPANY ��A�',P�2 /��j� /�jrZS � <br /> RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ���� � i � � /O v ���"!,^� �T� �f License# �-� b ��CS� `�� <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 <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 Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilit(es&1 dumpster;Site Work Permit for subdivisionsAarge 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 FaciliUes&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 requtred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applfcallon,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attorney(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(PIoUSurvey/Footage) <br /> Driveways-Not over Co�ter if on public roadways..needs ROW <br />