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+ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � / � __ t <br /> Phone Contact for Permittfn <br /> Owner's Name _ ��- � ' i°� Owner Phone Number � " � <br /> Owner's Address �75 ✓� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee 5imple Titleholder Address <br /> JOB ADDRESS C'- � LOT# �4�--� <br /> SUBDIVISION �n �i 2.��a1� PARCEL ID# � — '.� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ( G,P j � �ra Z� � ��2� <br /> BUILDING SIZE 3Q FOOTAGE C� HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 7 � � <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �U�� <br /> [�MECHANICAL $ VAWATION OF MECHANICAL INSTALLATION �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD�Bf�E AREA QYES NO <br /> �v <br /> � <br /> BUILDER � COMPANY • � - <br /> SIGNATURE . - �,/i �� REGISTERED Y/ N FEE CURRE� /N <br /> Address ,�i'�,lU License# �(��! S /�O ,,�t.� � <br /> EIECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# � <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# C <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)woiicing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •w►►PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 575�0) <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 />