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• � 813-780-0020 Ciry of Zephyrhills Permit Application Fax�13-780-0021 <br /> Building DepaAment <br /> i <br /> ' ' Date Reteived � phone Contact for Permitting C��J ( Z �� <br /> I —r <br /> Owner's Name �J � U'(QVl'f" �--�- Owner Phone Number <br /> Owner's Address 5 '�'�Ve 1�N 3� Owner Phone Numher <br /> Fee Simple Titieholder Name Owner Phone Num6er <br /> I Fee Simple Tltleholder Address <br /> JOB ADDRESS �cJI'�Z ��I'✓ T �JJ-ld`— LOT# � <br />� SUBDNISION PARCELID# i��Z[�O(�IO� I�[�� 0��� <br /> (OBTAINEO FRON PROPERTY TAX NOi1C� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � � 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 /> BUILDING $p�I�� VALUATION OF TOTAL CONSTRUCTION <br /> lSZ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 4/1{Q !/� I�.� <br /> lJ � � � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �`-� COMPANY � �/{Z Y <br /> SIGNATURE � �� REGISTERED N FEE CURREA / <br /> Address �-1 �'�Q�� �U� - License# l�L� �3""1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License it <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 len(10)working days after submittal dale. Required onsi[e,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for su6divisions/large proJects <br /> COMMERCIAL Attach(2)comptete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-0-W Pertnit for new construction. <br /> Minimum ten(10)working days afler su6mittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary FaciliGes 81 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oi Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Direetfons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over Sz500,a Notlee of Commencement Is►equlred. (AIC upgrades over 57500) <br /> •• Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroois If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />