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813-780-0020 City of Zephyrhills Permit Application F�-e�s-�so-ooz� <br /> .. • a <br /> . Building Department <br /> Date Received -2'?�� phone Cantact for Permitting � ) 1 I � `� <br /> �Ti-r'r I, Jr� <br /> Owner's Name � �l. Owner Phone Number 1.����` <br /> Owner's Addrass ��Z�� `��'l� Owner Phone Numbar <br /> Fee Slmple Tltleholder Name �r Owner Phone Number <br /> Fea Simple Titlaholdar Address <br /> JOB ADDRESS � L�� � LOT# � <br /> SUBDIVISION r' �-r/"� PARCEL ID# � Z'ZS 21"V ���LC/l�ti'�-/-( L <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN � � DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTtON Q BLOCK Q FRAME Q STEEL <br /> '/ 1 <br /> DESCRIPTION OF WORK � 1�GL � � K, � <br /> BUILDING SIZE SQ FOOTAGE �S HEIGHT � <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ��� <br /> �MECHANICAL $C�� VALUATION OF MECHANICAL INSTALLATION ( <br /> c� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER $ �� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO ( � <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address _J/i License# / <br /> MECHANICAL �� COMPANY ��� � � � '-"-� <br /> SIGNATURE REGISTER Y/ N FEE CURRE� Y/N <br /> Address �(.� License# l� �\ � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work Pertnit for subdivisionsAarga proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> Ii over$2500,a Notice of Commencement is required. (AIC upgredes over 57500) <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 PERMIITING (copy of conVact required) <br /> Reroo(s if shfngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />