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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � Building Department <br /> Date Raceived Phone Contact for Permittin �� S - � 7 � ! <br /> Owner's Name G Q � R��/ � -��7 U�`/�+v��R p Owner Phone Number ��� " 7�� '� 7/� <br /> n c� ��1 <br /> Owner's Address �c�� O �/7 .S�2e Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �O S//� S I�C'C'� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �. ii/ fIQ ,D /V�/�f'/ �N /���f//�Q�i/S <br /> BUILDING S12E ����"f�U SQ FOOTAGE S�J�� HEIGHT <br /> QBUILDING $ �B�D��Q VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ���Z '� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS /�� �� <br /> FLOOD ZONE AREA QYES NO j <br /> %. � i <br /> BUILDER �� COMPANY �F� �x�w NS'��C �B� /.(,e <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7�Og �� �e y� �/ ti`° License# �Q l���5�66� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL 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 Fom►s;R-O-W Permit for new conshucUon, <br /> Minimum ten(10)working days aRer'submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facilitles&1 dumpster,Site Work Permit for subdivisfonsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Buflding-Plans plus a L-ffe Safety Page;(1)set of Energy Forms.R-O-W-Permit for new construcUon. _ <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 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 construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Nottce of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING (Front of Application Only). � <br /> Reroofs if shingles Sewers Servioe Upgrades.A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW. <br />