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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin d i 3 7�� __ (����— <br /> Owner's Name ��N ( ' Owner Phone Number <br /> Ownet"s Address �7,3% � �/�P�_ �D;? .t�,,- pw�er Phone Number � <br /> Fee Simpie Titleholder Name —� Owner Phone Number � <br /> Fee Simple Titleholde�Address � <br /> JOB ADORESS 3 1� � iJL ;�f� � LOT# �� <br /> SUBDiVISION PARCEL ID# :S -�,S - -�Q -p 0 p— �� O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 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 D .�� S F q y oyl,•..e ` (.�-�P�,� <br /> BUILDING SIZE _� SQ FOOTAGE ��,�3 HEIC�HT �� <br /> OBUILDING $ <br /> �. p o�� VALUATION OF TOTAL CONSTRUCTION <br /> �J <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ����j <br /> � � � 7 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 ���"�%�- � �i�J� <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � O�. r' Q C_ License# �LC-�577�{Z� <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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflitfes&1 dumpster,Site Work Permit fo�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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,StoRnwater 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 consUuction. <br /> Directlons: <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 s7500) <br /> "' Agent(for the contractor)or Power ot Aflomey(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 />