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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received � -. � <br /> 'l Phone Contact for Permittln '� <br /> Owner's Name '�,p "T1'�,. `J ; wi�o� ,`y prvner Phone Number �/3 (� -'� <br /> Owner's Address S G�� l -�/ � c�T� Ovvner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �L�G � �C�'t�� �� � <br /> LOT# <br /> SUBDIVISION PARCEL ID# �'' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR 8 ADD/ALT � SIGN O Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �o�o L �h P d 3(� S �6 ����, <br /> BUILDING SIZE � Sq FOOTAGE� HEIGHT �� � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �, 5�D <br /> QELECTRICAL a AMP SERVICE Q OG ENE GY Q W. .C. <br /> PLUMBING , �� V" " ""' ������"`� <br /> o � .,� �SG <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��,-�-����R,h <br /> �a �iU <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � Y� � L�� <br /> (.� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES Np ,� Si�(�/` <br /> U <br /> BUILDER COMPANY e A-i� I�'� � CA'���'�- S S� � <br /> SIGNATURE � 1� 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 <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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 new construction, <br /> Minimum ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/S1t Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivlsions/large 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 constructlon. <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 /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out application completety. <br /> Owner 8 ConMactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (AJC upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer 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 />