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w ! <br /> ' 813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received Phone Contact for Perrnittin q 3� JH <br /> Owners Name � � V�. I Owner Phone Number �k7��VC7'4553 <br /> ) <br /> Owners Address a � 1 �S Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple TiUeholder Address I <br /> JOBADDRESS JQ�V�. -6��-�V'� z h I 3�J LOT# � <br /> i <br /> SUBDIVISION PARCEL ID#I <br /> I (OBTAINED FROM PROPERTY TA7(NOTIC� <br /> WORK PROPOSED B NEw CoNSTR e ADD/ALT IQ SIGN Q Q DEMOLISH <br /> INSTALL REPAIR I <br /> PROPOSED USE Q SFR Q COMM I� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �C.. � I ' �P Z :PS '1 TvY 1 F-W� I�Se�i� <br /> BUILDING SIZE SQ FOOTAGE `� HEIGHT � <br /> IfR i 1 1 7 1 1 1 1 1 1 1 1 1 1 1 f I 1 1 1 i 1 1 1 1 1 1 1 <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />� <br />, QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���� I <br /> MECHANICAL $ � � � VALUATION OF MECHANICAL INSTALLATION �l' I� <br /> II <br /> QGAS Q ROOFING Q SPECIALTY � OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> .I. - -- - - I <br /> . . . . . . . i <br /> BUILDER COMPANY I <br /> SIGNATURE �REGISTERED Y/ N FEE CURREN Y/N il <br /> Address License# � <br /> ELECTRICIAN COMP IY I' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> I <br /> PLUMBER COMP�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I <br /> Address I License# <br /> I 'A, � <br /> MECHANIC J COMPANY V� <br /> SIGNATURE � '� RECaISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address .J J� C7 e Zvj �icense# �VY)CO���I�L <br /> I <br /> OTHER COMPANY <br />, SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Add ress I License# � <br />� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111 I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1)set of Energy Fortns;R-O-W Permit for new conswction, I <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br />� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit far all new projects.All commercial requirements must meet compliance <br />�� SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for att NEW construdion. <br /> � - �-�� <br /> Directions:, <br /> Fill out applicalion completely <br /> Owner&ConVactor sign back of applicatlon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades i ver$7500) <br /> " Agent(for the contractor)or Power of Attamey(for the owner)would be so i eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlollSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />