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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 Permlttln �� �� _Q�� <br /> Owner's Name � Owner Phone Number <br /> Owner's Address �� � t - ��� ����(a, �— <br /> Owner Phone Number <br /> Fee Slmple Titleholder Name —� Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOBADDRESS �O� , �� J� . Z�-� '(h1�15� 1r"� 3�j�-, a LOT!! �� <br /> SUBDIVISION PARCEL ID# ��" ' - �" `3���/��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN [� 0 DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTtON OF WORK �� �,� 5���( i{� � z, �(�}'l � C(� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �—� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> 3 r���.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTA�ATION f�y�� <br /> / / l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTH <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> c���S �,� �o�mS ; �lc� ` � � <br /> PLUMBER COMPANY � ����5 w\���C�C`(� � �(1� <br /> SIGNATURE '�`'Q-'���'�-'vu"� REGISTERED Y N FEE CURREP N <br /> Address �u�J � 1 ' '�J� Z- \�rj��L 3 S�� � L(cense# f"������l�p� <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 Facillties 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife 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 Permlt for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlons: <br /> Fil�out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement la required. (A!C upgrades over:7500) <br /> " Agent(tor the contractor)or Power of Attomey(for the owner)would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Servlce Upg�ades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />