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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � '?�� Phone Contact for Permittin __ <br /> �, <br /> Owner's Name :(� � �j /`.,� Owner Phone Number <br /> Owner's Address Owner Phone Number � � <br /> Fee Simple Titleholder Name �— Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � �(,�l'.( � � / LOT# � <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM !� OTHER � <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � L (,�� � � Q � Z <br /> BUILDING 31ZE SQ FOOTAGE�� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL ���0 �,Z AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> . �PLUMBING $ ;``/ '���� �e.- O��vi� ��fl4ssr"C <br /> •✓ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��' �/�l� ( <br /> �3� 7 � ��J" (, �,.'�i��( ��s <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER '�� `i� <br /> � � V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N � <br /> � �� � ��� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � Lf/l (°; � ��I(A/� ' � License# U/ � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY � �,�i� C/ 0. Scn.t,� �a.c 5 /•..� <br /> SIGNATURE �� REGISTERED Y! N FEE CURRE� Y!N <br /> Address /�5 o iV D �4�v��---{�L- license# �.i{-c/�/I�� U � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for�ew consUuction, <br /> Minimum ten(10)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&1 dumpster;Site Work Permit for subdivlsionsAarge 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 construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '**`PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgradea 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 AppHcation Only) <br /> Reroofs if shingles Sewers , Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />