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813-780-0020 Ciry of Zephyrhills Permit Application Fax-813-780-0027 <br /> � � Build(ng Department <br /> Date Received phone Contact for Permitting <br /> o / D r � �, �x�33 <br /> Owners Name rL� V r1 Owner Phone Number <br /> Owner's Address (�W � /V�� ��7 Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O � S� �—" LOT# d�� <br /> SUBDIVISION ��� ����� � PARCEL ID# ��{Y�li��oWV°"V�/`��`�r��� <br /> (OBTAINED FROM PROPERN TAX NOTICE� <br /> WORK PROPOSED e NEW CONSfR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � <br /> DESCRIPTION OF WORK � N e �IJ�� '� L�/f���� �fX I S��h �(6G� ��� <br /> BUILDINCi SIZE SQ FOOTAOE I� /C3 HEIGHT 1 S�� <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMPSERVICE � PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING $ B/�f.�� <br /> � ��/�/ <br /> MECHANICAL $ �..p.��r VALUATION OF MECHANICAL INSTALLATION <br /> ��J <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN Y/N <br /> Address � License# <br /> ELECTRICIAfy COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREN Y/N <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIQNATURE REGISiERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY �I �'i�s ��P -O I�LOJ�II � <br /> SIGNATURE REGISfERED Y/ FEE CURREN Y/N <br /> Address Zb (iW �o� t�u� � I� � License# <br /> OTHER ��V P.1��e� � I ,�s� r��OMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURREN Y!N ' <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I t 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Enargy Forms;R-O-W Permit for newconstruction, <br /> Minimum ten(10)working days after submtttal date. Required onsite,ConsVUdion Plans,Stormwater Plans w/SiR Fence installad, <br /> Sanitary Facilities&1 dumpster;SRe Work PermR for subdivisions/large projects , <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W PermR for new construdion. i <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWdion Pians,Stormwater Plans w/Silt Fence insplled, I <br /> Sanitary Facilities&1 dumpster Site Work PermR 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 /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t f 1 1 1 t 1 1 1 1 <br /> Directions: <br /> Fill out application completely. <br /> Ownar&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (AJC upgrades over$7600) <br /> " Agent(for the conhedor)or Power of Attorney(for the owner)would ba someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT11N0 (Front of Application Only) <br /> Reroofs iF shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) <br /> Driveways-Not over Counter if on public roadv�rays..needs ROW <br />