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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 �/ V L �.C.— Owner Phone Number <br /> Owner's Address � ►V�✓S/r�c.� � Owner Phone Number � <br /> Fee Slmple Titleholder Name Owner Phone Number � —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,�S/ ��'1Q S� LOT# � <br /> SUBDIVISION � —� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VVORK PROPOSED B NEW CONSTR 8 ADD/AL7 � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> IPROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK GGG ` iri �[� (� ^ �(�, v(� ���� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ���, AMP SERVtCE �O l� �/PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> � 1��G <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY �✓'�i� '�l�/i� �`n � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address 1�C.� �.��?S ?) License# �C�.� v v� <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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivisfonsAarge projects <br /> COMMERCtAL 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 aRer submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence instatled, <br /> Sanitary Facilities 8 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 /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement is required. (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 Appllcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />