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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved phone Contact for Permittin �� lD�S -_ d L,�l7 <br /> TTiT1TTf— <br /> Owner's Name �rA Owner Phone Number O� ��� 'q� <br /> Owner's Address 1 Jy T ('1 Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Addrass <br /> JOBADDRESS � 1 J � � �— LOT# � <br /> SUBDIVISION r '� � V� 1 S PARCEL ID# I�Z�—Z " ����� "d O <br /> (OBTAINED FROM PROPERTY TAX NOTICEj <br /> WORK PROPOSED � NEW CONSTR n ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK <br /> ��'uo� A i-a AG �sk��l sp/,�- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT,C� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ��CHANICAL $��G7.O� VALUATION OF MECHANICAL INSTALLATION � � ; 1V 1 <br /> O � v <br /> �GAS � ROOFING Q SPECIALTY � OTHER � O O <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 CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY S � C, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address . � L�` � �u���OZ '�Gy ,33G/U License# �� �7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <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 for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> � <br /> Directions.• <br /> Fill oul application completely <br /> Owner&Contractor sign back of applicalion,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades aver$7500) <br /> " Agent(for lhe contraclor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI'fTING (copy of contrect required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />