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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permitting I� `[� `� � L ' <br /> Owner's Name W 6 I. iY`..Q �,Q_�� OwnerPhone Number U (�'d �O ' (�[�� <br /> Owner's Address �V ��� � ` '�_ Owner Phone Number ' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0 ��� �� j l �`'� LOT# I L Y(G(1 I <br /> susoivisioN � r PARCEL ID# 1/-ZL•zl-�a�o .��ov�(,(�(' <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �(/ VV f S l S/ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �UILDING $ t r�1 �/Gd VALUATION OF TOTAL CONSTRUCTION <br /> I � L � <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. _ !� <br /> OPLUMBING $ 6L J V� <br /> d ��� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �tQ� <br /> 1 /_ J l V <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � ��� I r� <br /> � ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> D At-Home �ervices, inca <br /> , .� Drive <br /> BUILDER '�` COMPANY Tampa, FL 3 619 <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �Cd���'� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License#! <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 I 1 1 I 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 1 I 1 1 I 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets ot Building Plans;(1)set o(Energy Forms;R-O-W Permit for new construct(on, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Facilities 8'I dumpster,Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sels 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 dale. Required onsite,Construction Plans,Stormwater Plans w/Sil[Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all MEW construction. <br /> Directions: i <br /> Fill out application completely. <br /> Owner 8 Contrector sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for Ihe 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />