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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � _ .- "' . . �\ <br /> Phone Con+ ct for Permitting <br /> Owner's Name �W ~ l�w�� Owner Phone Numh r , �/V'� ��'�� <br /> Owner's Address d 1�S + . Owner Phone Nymb C <br /> ; , __- <br /> - _...-_�. <br /> Fee Simple Titleholder Name i/ Owner Phone Number � �� <br /> Fee Simple Titleholder/�ddress <br /> JOB ADDRESS . �S LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN 0 �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0� COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME O STEEL 0 C <br /> DESCRIPTION OF WORK '�� �t5���+� �Z`' � ���� ����pT -�• <br /> � Q�������� f �L��l,3��-� /�!���/�.-�r���"�-r''�,�.�� <br /> BUILDING SIZE SQ FOOTAGE !�� HEIGHT <br /> BUILDING $ /j, � ��' VALUATION OF TOTAL CONSTRUCTION <br /> i/ <br /> �ELECTRICAL $ � AMP SERVICE O PROGRESS ENERGY 0 W.R.E.C. <br /> �PLUMBING $ � � \�'LO� � ^ <br /> � l% <br /> �MECHANICAL $ ,� VALUATION OF MECHANICAL INSTALLATION � �. � <br /> � � ����� <br /> �GAS � ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �� <br /> BUILDER �� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY �P.�i `" �. �Gp.� (1 <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address P���X ��a2. Z � �1� r�- �1•�+�bL License# ��O��t�j�3 <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 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&1 dumpster;Site Work Permit for subdivisions/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 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 construction. <br /> Directions <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER�HE 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 /> ` <br />