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813-780-0020 Ciiy of Zephyrhills Permit Application Fax-813-780-OD21 <br /> Building Department <br /> , , Date Received ��j, phone Contact for Permittin l) !�/ (Z� <br /> Owners Name dVV q L�— Owner Phone Number l�'� S^O � <br /> OwneY's Address ���f`� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS O (.,a.iv �/'SY� C�..(_ LOT# � <br /> SUBDIVISION PARCELIQf� �O'�"Z�'� �/(�' "Q O <br /> WORKPROPOSED e WSTALsrrte ADP/AAIL�T � SIGNNEDF�PROPERTYTAx�Nonce)�EMOLISH <br /> PROPOSED USE � SFR Q CAMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK //V �S �Z S��-C_ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> BUILDING $ �OO D� VALUATION OF TOTAL CANSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I ��� � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br />' FINISHEDFLOORELEVATIONS FLOODZONEARFA QYES NO <br /> ����u ��`u_. ui <br /> 9 i S 9 C i i :- <br /> SIGNATURE l���� aOM1sP� Y N �eECURREN Y� <br /> Address � / � LV/Z License# Q Z�Q <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br />� PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN YIN <br /> Address License# <br /> I MECHANICAL � COMPANY <br />, SIGNATURE REGISTERED Y/ N FEECURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> i SIGNATURE REGISTERED Y( N FEE CURREN Y/N <br /> Address License# <br /> 1 1 I 1 1 1 I 1 1 1 I I 1 I 1 1 I t I 1 1 I 1 I 1 I 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach{2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, <br /> i Minimum ten(10]vwrking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facildies 8 1 dumpster,Site Work Pertnit for subdivisionsllarge 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 construction. <br /> Minimum ten(10)vwrking days aftersubmittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence insialled, <br />' SanRary Facildies 8 1 dumpstec 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 /> �1-�F.-.��.�.-1-�' .�'-•�-•-•- <br /> Directians: <br /> Fill out application completely <br /> Owner 8 Contractorsign back of application,notarized <br /> If over$2500,a Notice of CommencemeM is required. (A/C upgrades over$7500) I <br /> " Agent(for the contracto�or Power of Attomey(forthe owner)would be someone with notarized letter from ownerauthorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />