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� � 813-780-0020 i � Fax-813-780-0021 <br /> , City of Zephyrhills Permit Applicat o <br /> ` Building Department <br /> . <br /> ` Date Recefved Phone Contact for Permitting - __ _ <br /> -i-7-�-�-�-�-�-�- -- - ----I-n-i-1 <br /> Owners Name C.. Owner Phone Number I "( � / 7 <br /> Owners Address W�-1 � !• Owner Phone Num6er <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1UC.Y � �lJf �I �L ��`� LOT# � <br /> SUBDIVISION v�lY \ PARCELID# O ��W o�a o -�O✓�v 1�vV <br /> (OBTAINED FROM PROPERTY TAJ(NOTICE) <br /> WORK PROPOSED � NEW CONS7R e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK � �I O�S ' (�,C,GI,/1 I� �� �C.C{"�� �" '(� <br /> BUILDING SIZE SQ FOOTAGE L�['�� HEIGHT � <br /> �BUILDING $ II (n/�r VALUATION OF TOTAL CONSTRUCTION <br /> u[a/ <br /> �ELECTRICAL $ AMPSERVICE 0 PROGRESSENERGY 0 W.R.E.C. �lG'�S <br /> �PLUMBING $ �r�p✓ ` � SC`� c� <br /> � � L � � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION R � 5 � <br /> l_\\ <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � <br /> � <br /> t I <br /> BUILDER \ OMPANY l � <br /> SIGNATURE REGISTERED Y/ N ` FEE CURRE� Y/N <br /> Address � �YT � �`� 2-1"I�)S'r`- , Sy� License# lQ ! �-C <br /> ELECTRICIAN r JY`�'�-� � , t �COMPANY lM1\ i L <br /> SIGNATURE � ��� �• REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � v T- �� ��3 License# �-V� <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 /> 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1'1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 I 1 1 I 1 <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets o(Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construclion Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)compiete sets of Building Plans plus a Li(e Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite.Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <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 />' " Agent(for the conlractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (Front of Applicalion Only) <br /> Reroofsifshingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW i <br />