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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 m L. `r,� � � <br /> Owner Phone Number <br /> Owner's Address � -�- t � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Tftleholder Addresa <br /> JOB ADDRESS -t- ,� �.� <br /> LOT# � <br /> SUBDIVISION � 7, PARCEL ID# • c , ��"7 G� h <br /> � � V <br /> WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR e ADD/ALT SIGN � <br /> INSTALL REPAIR ' � �� DEMOUSH <br /> PROPOSED USE SFR <br /> � � COMM OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK � � ' <br /> � I�' <br /> BUILDING SIZE SQ FOOTAGE�� —� � <br /> HEIGHT <br /> �BUILDING $ <br /> � . — VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> �— � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � l� �'f' � <br /> [�GAS � ROOFING �] SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> DYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ( � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER <br /> 31GNATURE 1 _ � COMPANY �-�� C , <br /> REGISTERED Y/ N FEE CURR Y/N <br /> Address � '3 �C�t��'I � � ' �_ <br /> 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)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilfties 8 1 dumpster;Site Work Permit for subdivisionsliarge proJects <br /> COMMERCIAL Attach(3)complete sets of Buitding 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 compiiance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is requlred. (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 Application 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 />