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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receive,d Phone Contact for Permittin -- <br /> Owner's Name G ���s�Q�����'�`'r � Owner Phone Number <br /> 3`�-1 1� S�� ,�v�. \� � <br /> Owner's Address _ c� _. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Addresa � <br /> JOB ADDRESS �� - � � I.OT# � �" <br /> SUBDIVISION �— —� PARCEL ID# I - - "' �� "� �� C�,� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEw CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK '' '�(j��L� - �� <br /> BUILDING SIZE � 3Q FOOTACsE I�D�iO HEIGHT �� <br /> �BUILDING $ �� --- VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> 'z�� � 37 <br /> r <br /> � �� �`� , <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION N � �. <br /> �� . <br /> �� <br /> QGAS � ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �(�2y <br /> 1 J- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 �, `1.1 � �(?.j <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 oonsVuction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians 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 compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "`*"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over 52500,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 w(th notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />