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% <br /> �� <br /> 813-780-0020 City of Zephyrhills Permit Application F�-a��-�ao-ooz� <br /> Building Departrnent <br /> �ate Received /� I <br /> Phone Contact for Permitdn9 27 Y��— ! <br /> Owners Name �('r�� Q S w Owner Phone Number 27` 7 "' 1(� <br /> Owners Address ��'D 1 �' L�� �T �'l ner Phone Numher <br /> Fee Simple TiUeholder Name Owner Phone Numher <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 7O✓ / Q�1 �Y q ^ � � �r� 5 3 3.� � LOT# � <br /> SUBDIVISION PARCELIQk �7~2�' Z �D I�'—e�7 �DDIO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW cONSrR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPiION OF WORK r �J F�� W A Qf ��'�c�y <br /> BUILDING SIZE SQ FOOTAGE� f HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE ' Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ��b�,� � <br /> 7�' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE �cis�aeo Y/ N F�cura�n Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE a�cls7eaeo Y/ N F�cua�En Y/N <br /> Address License# <br /> PLUMBER pL� ��� COMPANY �r` ��W►�(/t /l� <br /> SIGNATURE r�clsreaeo Y/ N F�cur�n Y/N <br /> Address � '7� O O r� �� 3 73 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r�cisr�xFn Y/N F�cuwzEn Y/N <br /> Address License# <br /> OTHER COMPANY `—� <br /> SIGNATURE �ciS�rtEn Y/ N r�cuaaen Y/N <br /> Address License# <br /> � � � � � t � � � � � � � � � � � � � � � � � � � � � i � � i � e � � � � � � � � � � � � � � � � � � � � � � � t � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construc[ion, <br /> Minimum ten(10)working days after submittal da[e. Required onsfte,CansWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)comptete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWcUon. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far all NEW consWCtion. <br /> DirecGons:• � <br /> Fill out application campletely. <br /> Owner 8 Contractor sign back of applicaUon,notarized <br /> If over E2500,a Notice of Commencement is required. (AfC upgrades over§7500) <br /> " Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized letter from awner authorizing same <br /> OVER THE COUNTER PERMI7l1NG (Front of AppGcaGon Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />