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813-�780�0020 _r� /,/ City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � ��/ � �;, � Building Department <br /> Date R�r,e'r✓ed � <br /> Phone Contact for Permittin <br /> Owner's Name � � - Owner Phone Number �j^Z � `-j j q�- <br /> Owner's Address �` t�, 2 �s Owner Phone Number � <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r �, ��; ` ,/-�,� � �� <br /> � � �-- LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR ADD/ALT �� SIGN Q O DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q �LOC F ME STEEL � r <br /> DESCRIPTION OF WORK (i l ` � � � <br /> BUILDING SIZE 3Q FOOTAGE HEIGHT <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTIOAV <br /> [�ELECTRICAL / <br /> $ � AMP SERVICE Q� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL ($ - � VALUATION OF MECHANICAL INSTALLATION <br /> �_ <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> Lice # <br /> ELECTRICIAN � � � COMPANY �` � ` <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> RESIDEN7IAL 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 Perm(t 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 appflcation complete�y. <br /> Owner 8 Contractor sign back of application,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 /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Serviee Upgrades A/C Fences(Plot/Survey/�edteg�) . <br /> , <br /> Driveways-Not over Counter if on public roadways..needs ROW �f �� ;�b „ �' <br /> . z>e;. .� . � <br /> � . r. ,,. �, <br /> � - ..�„ _......�..,., ,_ , <br />