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r <br /> 813-780-0020 City of Zephyrhills�Permit Application � FaX-8�3-�so-ooz� <br />�i .� Building Department <br /> � _ . <br /> Date Raceived Phone Contact for Permitting — <br /> I Owner's Name � 1"�-�-��� Owner Phone Number F✓�a°� ,���� <br /> . <br /> Owner's Address � �� r � Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> I <br /> Fee Slmple Tltleholder Address <br /> � <br />� JOB ADDRESS � /�E�� G��C3, � "` ' , I.�, ("�f(,� �,�S LOT# � <br /> ' C .ZI_(�4`Z� �d�l�,c►� r ��� <br /> SUBDIVISION ��-+� PARCEL ID# �J'� �o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q �RAME 0 STEEL Q <br /> DESCRIPTION OF WORK a �1 a n� � ` deq � /��G� C e 0� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION J <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ _ �- <br /> � - <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> a � �� <br /> � �� <br /> QGAS Q ROOFING Q SPECIAL I 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGIS IERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> ELECTRICIAN COM IANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> PLUMBER COMIANY <br /> 51GNATURE REGIS�ERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL COM IANY ���-�1,n,�_ � �� <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y J N <br /> i <br /> Address �� � � '" i' <br /> License# �� <br /> DTHER y COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> ?ESIDENTIAL 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. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster;Site Work Permit for subdivisionsflarge projects _ <br /> �OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consVuction. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8 1 dumpster.Slte Work Permit for all new projects.All commercial requlrements must meet complfance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructi I n. <br /> i <br /> )Irections: <br /> Ffll out application completely. <br /> Owner&Contractor sign back of,application,notarized � , <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over 57500) <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 /> `��•;_=;'..r. ,. <br /> teraofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) - �� - ' ° � �r'�-� . , - <br /> `, • ,,;,;,,,,,,;,;�,�; i _'• ' • . . , <br /> DNveways-Not over Counter if on publlc roadwa'qs.:needs`ROW � �i• �' � �.� , �} _ ' ' . ' <br /> _,- � , -., � ',. ' .� .�: ' _ � �. <br /> � <br /> I <br /> I <br />