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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , ' Building Department <br /> DaQe Recelved Phone Contact for Permlttin — <br /> Owrner's Name L'✓� y� .�� y,�/�,/ I Owner Phone Number <br /> Owner's Addres� S �� ! Owner Phone Number - <br /> Fee Simple Tltleholder iVame � Owner Phone Number � <br /> Fee Simple Titleholder Addre�s ; <br /> JOB ADDRESS ���( O Z S LOT# � <br /> SUBDIVISION PARCEL ID# � --Ol�f O— O� �O—�O� <br /> , (OBTAINED FROWI PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> B INSTALL. 8 REPAIR � <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONI3TRUCTION �� BLOCK �` Q FRAME � STEEL Q <br /> DE3CfdI�TIOP1 OF WORK l�e�OF O�IS� �7T� fF I 3m /Z� � ` n/S'1 tl,U�t-L S� /�1/�I� <br /> BUILDING SIZE SQ FOOTAGE� FiEIGHT <br /> QBUILDING $ -' � <br /> 7 D D VALUATION OF Ti TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> I <br /> QPLUMBING $ � <br /> � ' . <br /> QiUIECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> OGAS ROOFING. Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON i AREA QYES NO <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' Ucense# <br /> , � <br /> ELECTFtICIAN COMPANY <br /> SIGNA7URE " REGISTERED Y/ N FEE CURRE� •Y/N <br /> ". i <br /> Address i Llcense# <br /> PLUMBER COMP� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Addre�s � License# <br /> MECH/iNICAL COMP,� <br /> SIGIVATURE � REGISTERED Y/ iV FEE CURRE� Y/N <br /> Address ` I License# <br /> OTWER � COIWPAPIY j�(�t� QQ�lr✓� <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/fV. <br /> ,�ddress � �X l,3�� ��G— CG� ; License# C DO�;� <br /> RESIDENTIAL Attach(2)PIof.Plans;.(2)sets of:Building'Plans,=(1)set of Energq�Forms;R-O-W PermR for new constructlon, <br /> Minfmum,ten.(-1.0);working.days�after�submittal date..Requlretl onslte,Conshucbon P-Ians;Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles.&•1,dumpster,Slte Work•Rermit.for subdfy�isions/large projects�_ <br /> COMMERCIAL Attach(3)complete sefs of Buiitlirig Plaris plu's a Life Safety Page;(1)set of Energy Forms,R-O-W Permit for new consVucUon. <br /> Minimum ten(10)working days'after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary FacillUes 8 1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered•Plans.,,. -� � <br /> ""PROPERTY SURVEY required for all NEW construction.i <br /> Directlons: � <br /> Ffll out applica8on completely. ' <br /> Owner 8 Contractor sign back of appifcatlon,notarized <br /> If over a2500,a Nottce of Commencement is required. (A/C upgrades over�7500) <br /> " Agent(for the contractor)or Power of Attomey(fo�the owiner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITiING (Front of AppllcatiomOnly)�'�;�,.:'-°4 S . <br /> Reroofs If shingles Sewers ;Service Upgrades.A/C � '_-Ferices`(f?Iot/Survey/Footage) � ,: „ � ; <br /> , � - ��i- .� . _ :+ , <br /> Driveways-Not over Counter if on public roadways..needs ROW;;`,:.;,� �'� '; _ ., " - - <br />