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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 Permitting -- <br /> Owner's Name e �fe. {'�bV�'�(, Owner Phone Mumber �( "� O �0��3� <br /> Owner's Address � �51�-�e✓►� 4-L. Oumer Phone Mumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS �3 /4 LL �,. � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �J � <br /> BUILDING SIZE SQ FOOTAGE �j� HEIGHT <br /> I <br /> BUILDING $ ��.� , VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � , /�! r� <br /> �!� (/lJ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � J � COMPANY � <br /> SIGNATUPtE lll� REGISTERED Y/ N FEE CURRE� Y/N <br /> / . <br /> Address License# <br /> EL.ECTRICtAN COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAPIICAL COIIAPANY <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3j complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit for new constructfon. <br /> Minlmum ten(10)working days after submittal date. Requtred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, - - _ <br /> Sanitary Facillties&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 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.: (Front of.Application Only) � � - <br /> Reroofs if shingles Sewers . ,:Service Upgrades A/C ` ' .Fe.nces(Plot/Survey/Footage) . , , : - _ <br /> Driveways-Not over Counter if on,public[oadways..needs ROW ` . " • <br />