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813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 <br /> Building Department <br /> Date Received 09�23 —2��� B�� 3SS _ /!9S <br /> Phone Contact for Permittln <br /> Owner's Mame �������rs S�A"/� Owner Phone Number CJ�3-395-�YYfF <br /> o Owner's Address �u8 �MEGA �T Owner Phone Number <br /> Fee Simple Titleholder Name - Owner Phone Number <br /> . <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS 7�B OMEGA cT. LOT# � <br /> SUBDIVISION /!�-///� V��/lG�i PARCEL ID# <br /> (OBTAINED FROM PROPERTYTA7C NOTICE) <br /> WORK PROPOSED B NEW CoN57R e ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q ' <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER • <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE7. Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY AfT2 �S K.o L G .2 <br /> SIGNATURE REGISTERED Y/ N FEE C RE� Y/N <br /> Address Lfcense# � <br /> OTHER COMPANY <br /> SIGNATURE RECIS7EReo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets af Bullding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWc6on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlilles 8 1 dumpster,Site Work Pertnft for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa(ety Page;(1)set of Energy Forms.R-O-W Permit for new wnstruction. <br /> Minimum ten(10)working days after submittal dale. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary F�ilities 8 1 dumpster.Site Wark Pertnit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •'••PROPERTY SURVEY required for all NEW consWction. <br /> Dlrectlons: <br /> Fill out application compietely. � <br /> Owner 8 Contractor sig�back of applicalion,notarized <br /> IF over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <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.P.ERMIT71AlG (Front of Application Only) <br /> Reroots If shingles Sewers �� Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />