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813-780-0020 City of Zephyrhills Permit Application ._. FaX-s�3_7so-ooz� <br /> -- -- ° - -°-•- - , Building Department � , <br /> Date Recelved ,Phone Contact for Permittin ��, !� - S3.��l .- � <br /> -rrrrrrrr -n-�i <br /> Owner's Name , �,... ., (� �1 . • Owner Phone Number �(d U ` -7�� -C��- li <br /> . .._ Z T <br /> Owner's Address � �� I�CtS 'e Ir �L• 33 �{ � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � Sa� �'C�R-l�Q$T PT p , � Y�(�l�S ��-33'� LOT# �a �� <br /> SUBDIVISION 'e R I,�_ OI 1'LT� PARCEL ID# a - (o - - � (�� DD�dC.� " I o� (� <br /> , (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK �x��'1-� SC L°� ��G� � � �t.l f l� C (j V� S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> TITrTrTrITTrT <br /> �BUILDING $a fl�� pD VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �O�Cr <br /> V <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�� <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> ��1--1-1--1--1-1--�1-1--f-1--1--1-f�-1-1--1-f-1--1-1--1--1-4-f-1--1--f-1--�F-F-F-1--1-1--1-f-{-�-1--1-a--1--1-�1--1--1-1--1-1--1-f-N-�f�-1-1-�F-�1-1- <br /> 5 t1V <br /> w /`�"(�✓b'L P 6 <br /> BUILDER ��� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address � License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIttllllllltltlttlllllllttlltllllll <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 Work Permit for subdivisions/large projects <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 Permit for all new projects.All commercial requiremenfs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """'PROPERTY SURVEY required for all NEW construction. <br /> -f-�1--1--{..1..I�f..1..1�1-i-1.�1-I..��I..I..f.�1-1-�1-4-1-1--1-.1-f..1-1-I..f-1-f.�4�.1-I..f-f..�l..l.a-1--1�-f..i-1-' '...r:-r�4-L-1-L.�F-1-.�-�1-. <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 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(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />