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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . • -- ,, <br /> Date Received Phone Contact for Permitting ��� �d� ���� <br /> Owner's Name �� �i / C�1 rS ` •v G ��� Owner Phone Idumber �� z ^ ��J <br /> Owner's Address S / �f 6 �O • `5 � Owner Phone Wumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ' -�JOB ADDRESS LOT# � <br /> SUBDIVISION ' PARCEL ID# <br /> ' � � ~ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> y e INSTALL B REPAIR <br /> PROPOSED USE Q . SFR Q COMM 0 OTHER <br /> 7YPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��-/L. <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ �j d0 VALUATION OF MECHANICAL INSTALLATION � � ��.� <br /> v � t <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _ COMPANY - <br /> SIGRIATURE REGISTERED � Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN `COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUINBER , COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAMICAL COMPANY B��h S (�'rP �-.2�(!G <br /> SIGMATURE REGISTEReo Y/ N FEE CURRE� /N <br /> Address �� �{ L � ���n/ /� - r� � S ��' License# GJIGD � � <br /> OTHER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDIEIdTIAL Attach(2)Plat Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site VVork Permit for subdivisionsAarge projects <br /> COMNIERCIAL Attach(3)complete sets of Build(ng 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. Requfred onsite,Construction Pians,Stormwater Pians wl 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 ofEngineered Plans. __ ' <br /> wwwiPROPERTY SURVEY required for all NEW construction. ' - <br /> Directions: � <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 57500) <br /> •` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter.from owner authorizing same <br /> OlIER YHE COUNTER PERMITTIMG (Front of Application Only) <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 />