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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , <br /> Building Department <br /> Date Received Phone Contact for Permitting �� 3 � — o� <br /> Owner's Name 1 � ��-�i" �J C=�� I Owner Phone Number (��" � — � <br /> Owner's Address �� �� dM U� Owner Phone Number <br /> � <br /> Fee Simple Titleholder Name ; Owner Phone Number <br /> i <br /> I <br /> Fee Simpie Titleholder Address �am�. ; <br /> JOB ADDRESS �LL�, LOT# ��3 <br /> � �/ <br /> SUBDIVISION Fj , PARCEL�ID# � T�� � oZ� ' OOO�O � ,3�3D <br /> ` I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT� [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM i � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME I [� STEEL Q <br /> DESCRIPTION OF WORK �"G C �[.�T^LIT •�.�I rI•S � -I�SEcQ. �- C <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ I <br /> � <br /> �MECHANICAL $ ������ VALUATION I F MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIAiTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address ' I License# <br /> � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> MECHANICAL X _� � C I PANY P�� � Cl�/V� �i— ��G <br /> SIGNATURE •��'r�s'�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � /�f D � License# ��9"7,J � <br /> � <br /> OTHER COMPANY <br /> SIGNATURE FtEGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)setiof Energy Forms;R-O-W Permit for new construction, <br /> _ _ __ ____ Minimum ten(10)working days_after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,------ <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S�afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R�equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ell 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: i <br /> Fili out application completely. I <br /> Owner 8�Contractor sign back of appifcation,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upg�ades 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 PERMITf'ING (Front of Application Only) I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> I b <br /> Drive ys- .��e��;���u Nea on pu tc�p?._ways_needs ROW <br /> v*' i <br /> c>bitG��J Sf&Y'�;ti3���`�y��!r;t� :;�',t'°,�=:�'`�,'. � <br /> •�£sa� €ir a.5�d h3tt��!,�rsaz�?{►.!`•��'�''� ��w <br /> 4��+? ��ND R�Fi4�ftAtttsiir I's"�� �"r�`.,.�";' <br /> .�4i�c�'�c��b'rSki��i�cD�rr�.�f,.'4PJ� ��i.���1"".. <br /> ��u,ur-,......y . :,r. <br />