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� 813-780-0020 City of Zephyrhills Permit Application Fax 8 - 1 <br /> I ` Building Department <br /> ;. <br /> Date Received Phone Contact for Permitting � - � ' <br /> � � ^� <br /> Owner Phone Number 4 � 1 <br /> Owner's Name �j � C� �e 0 � �� <br /> Owner's Address 5 � � , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �5 � ( L-Y� �C.J�, er\S � � , - L o� LOT# � <br /> SUBDIVISION PARCEL ID# � ' `q" �' �� '' " ��D�r <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � Q DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � ` � � �v <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ � `�-D�1 ` VALUATION OF TOTAL CONSTRUCTION <br /> J V <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Q�� C������ <br /> --- —- —— — -- — - -- - �_-°�--''�'f�.. — - — <br />-— �''.,,�".�' <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �I� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO ' �"''/ <br /> BUILDER f� �� r� COMPANY � � � � 'C_C��/ � <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ;� License# <br /> LECTRICI ' , ��.r COMPANY � ������� � f� <br /> SIGNQIT�URE - REGISTERED Y/ N FEE CURRE� Y/N <br /> ��IV <br /> ress ��7(�f�- �r'�Sf'�-� (�Cia ,c,-� :.���C���-�icense# �-�3�I g�� <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 /> --�THER"_'- -- -�.- -� - -- —C6nHFA�1`Y—_-' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , Address License# <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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> --- - Sanitary Facilities&1 dumpster,Site�Nork Permit for subdivisiorts/large projacts - - ---� - ' -°---� <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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm�.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 /> Directions: ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> t(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> � UNTER PERMITTING (Front of Application_Only)-.-,; <br /> s Sewers -Service Upgrades.AIC ,::•Fences(PIoUSurvey/Footage) <br /> ver Counter if on putilic roadways,.needs ROV1% ._ , <br /> : , <br />