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813-780-0020 City of Zephyrhills Permit Application Fax-a��-�so-oo2� <br /> Building Department <br /> 'Date Recefved —� 2 � <br /> Phone Contact for Permittin <br /> Owner's Name � .� � �S Owner Phone Number <br /> Ownel's Address (/ Q / L G Owner Phone Number <br /> Fea Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � L v LOT# � <br /> 5UBDIVISION PARCEL ID# 1� ��� DW'�C/D OG'�ii'/ <br /> (OBTAINEO FROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED � N TALL�R REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK I T GG I�O C/N /7 J G'V' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��y/j��j <br /> � �r <br /> QPLUMBING $ � � I <br /> i(� <br /> �MECHANICAL $ O. VALUATION OF MECHANICAL INSTALLATION ;�% i� IC�1- <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER a ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � Z' `S��P � 5����� <br /> � n <br /> /L�tdJ <br /> �.y <br /> BUILDER COMPAMY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTER� Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> MECHANICAL � OMPANY 'y � � F �/�f��/Jd� ��G, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � O� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllllltlllllllllllllllllllllllllllllllllltlllllllllllllllltllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 /> Sanilary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(7)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgredes over$7500) <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 Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />