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813-780-0020 City o�f Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dat�Received <br /> Phone Contact for Permitdn <br /> Owner's Name i..� � � �a �- r � ,. Owner Phone Number `a 3-� <br /> � '�� c <br /> Owner's Address � 'rj�"3� 2"�h C,�f�z--� pymer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED F�pROPERTY T�ncEl DEMOLISH <br /> WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK e, � e -,� ��� �� �o - � ' <br /> � � Cp� 'y <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ '—' <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C. <br /> �PLUMBING $ <br /> � :����, D .� ��,5� �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY [—� OTHER <br /> FINISHED FLOOR ELEVATIONS f?� <br /> FLOOD ZONE AREA �YES NO (��� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> EI.ECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER " COMPANY �O p�,,,,` <br /> SIGNATURE "�'` � ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECNANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Piot 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 Facilities 8 1 dumpster;Site Work Permit for subdivlsionsAarge 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,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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> w. If over i2500,a Notice of Commencement ts required. {AIC upgrades over a7500) <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 Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />