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813-780-0020 City of Zephyrhills P rmit Application Fax-813-780-0021 <br /> Building Dep rtment <br /> ' �z° oi <br /> Date Received Phone Contact for Pe itting gf3 — <br /> Owner's Name '�/ � TS pS T s✓�� Owner Phone Number ��J — �g b� �� � <br /> Owner's Address /Yj 2. �G�T � Owner Phone Number <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 B NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK K� I� Z- CO �2C<i! G /`y :0 T �J�LI S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.� <br /> QPLUMBING $ <br /> QMECHANICAL $ � VALUATION OF M GHANICAL INSTALLATION <br /> �8 (700 <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPA Y � � <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> PLUMBER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address Ltcense# <br /> MECHANICAL COMPA �AH2 r S �jLo iv L G,Q,S .e <br /> SIGNATURE ` � REGISTER D Y/ N F CURRE� Y/N <br /> Address License# �Go ���� <br /> OTHER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivi IonsAarge prajects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms..R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ne projects.Ali commercial r�quirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •'""PROPERTY SURVEY required for all NEW construcUon. <br /> Directlons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades ver 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be so eone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo urvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />