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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � � <br /> Date Received � � '^� <br /> ' � Phone Conta,ct for Permitting � V, -5. <br /> I �wner's Name N -�, �� L� Owner Phone Number -�� �- ��� <br /> Owner's Address � c�.�� �iD <br /> L � Owner Phone Number <br /> Fee Simple Titleholder Name �D� Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address `-' <br /> � <br /> JOB ADDRESS y ��,L�LQ..� , �, LOT# � <br /> SUBDIVISION L�. Q � LS � PARCEL ID# Z ' '�-l' b V � Q� I O� ' d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q� SFR Q COM�M 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK i0 FRAh/lE 0 STEEL Q� Yl � <br /> DESCRIPTION OF WORK �u 1C- I�Y��I.�,l �C�'� I <br /> BUILDING SIZE I� , � J� � SQ FOOTAGE �1� HEIGHT <br /> �'�UILDING $ �� f�o -�- ' VAWATIION OF TOTAL CONSTRUCTION � a`-�U.� � II <br /> I li <br /> [�'ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I � ��PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� �� � <br /> I <br /> OGAS [� ROOFING Q SPEICIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> � <br /> BUILDER ' , , COMPANY �Q� ��`� t� �, <br /> SIGNATURE IREGISTERED Y� N FEE CURRE� �N I <br /> Address ► `r � �lr � License# � �� � t <br /> ELECTRICIAN � � C.`(= ���. COMPANY l..f l(�l(l�l�l [l�I�L.C� <br /> SIGNATURE '�- IREGISTERED Y,I N FEE CURRE� /N <br /> Address �� r�� , ��� License# C �� r � �' <br /> PLUMBER (����/,�,�/ n�/,�„ � COMPANY �l � 1� [-lO��� ��"_, <br /> SIGNATURE 4 V ��`" "_ fX �--E:1[- REGISTERED fl N FEECURRE� N <br /> I <br /> Address ��L��-Y�v J I License# �F� /�� � <br /> MECHANICAL \ COMPANY Y S � l,� <br /> SIGNATURE L IREGISTERED N FEE CURRE� Y N <br /> • Address ��j � C� �' <br /> r I License# � � r <br /> OTHER COMPANY <br /> SIGNATURE IREGISTERED Y/ N FEE CURREA Y/N <br /> I Address I License# <br /> I <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.l Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />_ Sanitary_Facilities_81_dumpster_Site_1Nork_pPrn,�t_f�r���5�h�;���ns!lar�epm;ects-- -- ---- -- <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.l Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 consUuction. <br /> Directions: <br /> Fill 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$7500) <br /> i <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />