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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec�ived � ,� -���/ phone Contact f �ermittin �L lp S d _��Q � <br /> � <br /> Owner's Wame � Owner Phone Number <br /> Owner's Address � lo S < < � � Owner Phone Number � —� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION PARCEL ID# � �- 2 G 2 , �2(�O ��DQO �'26� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT C� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK r(ti =./' ✓�D�� (� <br /> BUILDiNG SIZE SQ FOOTAGE C� HEIGHT �� <br /> OBUILDING $ �L� VALUATION OF TOTAL�CONSTRUCTION <br /> J <br /> QELECTRICAL $ �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATtON !/ <br /> �� �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER , � t COMPANY I LC, ►`a �"�✓t " �L. <br /> SIGNATURE REGISTERED Y/ N FEE C en Y/N <br /> Address License# �L L ( �j Z Z V <br /> � �_�— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I 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# C � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(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 FaciBties 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERClAL Attach(3)complete sets af 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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <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 consVuction. <br /> Directions: <br /> Fill 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 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />