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' � •° 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department `/C� <br /> � <br /> Date Received /� � �-/l Z�,) <br /> ' !� � Phone Contact for Permittin � ` ` --� � <br /> �1� l ' j� � <br /> Owner's Name v 6� � S �� � .4*2 �.� Owner Phone Number �7��. U <br /> Owner's Address �3 $ ,O , �Q� ' /r✓� � ��Owne►Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � -p LOT# � <br /> SUBDIVISION PARCEL ID# <br /> z �zr da d 1/2O da - <br /> (OBTAINED FROM P OPERTY TAX NOT1C� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK -/��%G� S � • e� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �gGILDING S ��� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �-�p'Q AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> � 'vo <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER � J/�_� ��� ��l, L� <br /> l <br /> FINISHED FLOOR ELEVAT S FLOOD ZONE AR �YES NO l �P � � � <br /> ! 1 ��,�„f�LL I <br /> �c.�. <br /> f � , ,����'�%� <br /> BUILDER ���/ OMPANY I � ��v- ��� <br /> SIGNATURE �«� REGISTERED / N FEE CURREA Y/N <br /> Address -3�d1^� O�'" j 33 '' License# ��„fA�� <br /> c� � e�' ��v <br /> ELECTRICIAN �COMPANY ��G'�� <br /> SIGNATURE � REGISTERED FEE CURRE� Y/N <br /> Address 2 0 �����n1 l �3�- License# <br /> � <br /> V <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREP Y/N <br /> Address License# <br /> I <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 /> Illlllllllllllllllllllllllllllllllllltlllllltlllllllilllllllllllltt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit Tor new consUuction, � <br /> Minimum ten(10)worfting days efter submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence installed, � <br /> Sanitary FaciliUes&1 dumpster,Site Work Permit tar subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new wnstruction. � <br /> Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directfons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br />� If over$2500,a Notice of Commencement Is requlred. (AIC upgrades over$7500) <br /> i •• 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 PERMIT'fING (Front of Application Onty) <br />'I Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> i Drlveways-Not over Counter if on pubtic roadways..needs ROW <br />� <br />