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- � . <br /> � 813-780-0020 City of Zephyrhills Permit Application Fex-s��-�so-ooz� <br /> Building pepartment <br /> Date Received 3" 9� Phone Contact for Pertnittin A <br /> Owners Name c Owner Phone Number �V� ��-l�W <br /> Owners Address � , l � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> i JOB ADDRESS �� � I V�Q„ Z— I S LOT# � <br /> SUBDNISION �1.11� 1' PARCEL ID# v� —' lV 05 �V '�� �lVl4' <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED � NEW CONSfit e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �/ <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT � <br /> QBUILDING � ^]e�' VALUATION OF TOTAL CONSTRUCTION <br /> �v <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � /�j/ <br /> �/ � .../ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED ELOOR ELEVATIONS D ZONE� ��YES NO <br /> BUILDER COMPANY t � <br /> SIGNATURE EGISTERED Y/ N FEE utta�n Y/N <br /> Address �[Jr "i�� License# <br /> + � 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �CUaaEn Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRFI. Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />' IIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllltlilllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Fortns;R-0-W Pertnit for new consWction, <br /> Minimum 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 subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Paga;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Ffll out application completely. <br /> Owner&ConUactar sign back of application,notarized <br /> If over 52500,a NoGce of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiicetion 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 />