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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> � , . ' Building Department <br />, .. , � <br /> Date Re.ceived � Phone Contact far Permittin -- " <br /> , � �� � ��� �� f3 , ,�� <br /> Owner's Name Owner Phone Number c_ <br /> Owner's Address �U`f� U.I CI,�_d,:� � � �'J Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number - � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �lU �� �u-"►�� �1: fl `LC.S FI . . LOT# �-=� <br /> SUBDIVISION � � , � PARCEL ID# O�'��LCp��I'daoO �-QO. O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK f?ROPOSED � NEW CONSTR e ADD/ALT �] SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR 0 COMM. Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER� <br /> DESCRIPTION OF WORK � 'O�.J i j i �.L.�� S C1L. � —c0 �� l-� n <br /> �I-1-7Zxlo�?t'u.�.l N. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> [� BUILDING $ / oO�e O Q VALUATION OF TOTAL CONSTRUCTION <br /> �S! <br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION � <br /> ���( <br /> Q GAS Q ROOFING 0 SPECIALTY Q OTHER , <br /> FINISHED FLOOR ELEVAl'IONS FLOOD ZONE AREA QYES ONO <br /> , <br /> BUILDER �� COMPANY � �;1� � l�� <br /> SIGNATURE REGISTERED Y/ N FEE CU RENT Y/N <br /> Address License# <br /> I , . <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address. Llcense# ' <br /> MECHANICAL � COMPANY <br /> SI.GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> � <br /> Address Llcense# I <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Llcense# <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 ons(te,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Perm(t for subdivisions/large proJects _ <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new construcUon: <br /> M(nlmum ten(10)working iiays after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> • Sanitary Facilities&1 dumPster.S(te 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 constructfon. ' <br />� Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appl(cation,notarized . , <br /> If over$2500,.a Notice of Commencement is requlred. (A/C upgrades over$5000) <br /> *• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same , <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br />, Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) , <br /> Driveways-Not.over Counter if on pubiic roadways..needs ROW <br /> . 1 <br />