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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin `�� �,s -_ ' /� <br /> Owner's Name ,�U�r,�j��r�}r � --�. � Owner Phone Number ���-0.3,� �1,� � <br /> Owner's Address � ` �> � �e���o•� �L,3�5( Owner Phone Number <br /> Fee Simple Titleholder Name + J�nlc:� Ow�er Phone Number � <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRE55 PP/� !C' �-�r��-f LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> , INSTALL �} REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK � - '�� _ ��,�' � • f <br /> BUILDING SIZE `�(�{�Qj��.�j X,j��(� SQ FOOTAGE �c�C� HEIGHT �d_� � <br /> �BUtLDING VA�UATION OF TOTAL CONSTRUCTION <br /> �� � J� <br /> ELECTRICAL , � <br /> 0 $ -- �` AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <br /> j <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � <br /> � / � <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS �j� FLOOD ZONE AREA �l QYES _ NO__._ <br /> BUILDER � 1 COMP Y � �l �� : `� <br /> SIGNATURE � REGIST RED Y/ N FEE Y/N � <br /> Address License# <br /> EIECTRICIAN � �� OMPANY <br /> SIGNATURE rte�is�Reo Y/ N FEE CURREA Y/N <br /> Address License# �— —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address Lfcense# <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 Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> M(nimum ten(10)working days aiter submfttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster;Site Wo�ic Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding 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 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (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 Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) . <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />