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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 �f�� ��'3 __ ��' �/ <br /> OvHner'S Name ��'��p �1C N'U!'��ti /�'T�C Orvner Phone Mumber 0 13— ��D� "Z��/ <br /> Owner's Address ���S� �'4�� 'QL�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS �5 3 � � T� s r LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B INSTALLSTR 8 REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM Q OTHER l �' � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ����� ���� � ����� L�' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING � '�f'; �'• VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �.��� <br /> . � �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS [� ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY "�G��S ��c��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 33� �`� ����� �'�-r�� License# <br /> PLUMBER COMPAMY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAPVICAL 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> I 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 8 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 construct(on. <br /> Directtons: <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 Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />