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�, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Departmenl <br /> Date Received V^ Phone Contact for Permitting o�� (� - G G Q <br /> -1"f'1-I-I- p �f <br /> Owner's Name ��� Owner Phone Number (�C�� ' � '( L <br /> Owner'sAddress ��OTi� C►f.l� I'� OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> Q/- i <br /> JOB ADDRESS Q((J Z� �7"3 n LOT�t � <br /> < SUBDIVISION ([ �� � PARCEL ID# �'�/"L�LC�'� v��' �3a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK ��� ( � ,I� �< f� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � , <br /> " �UILDING $ n��0 VALUATION OF TOTAL CONSTRUCTION <br /> < <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ �� �D� <br /> /� Ij <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'� <br /> OQGAS 0 ROOFING Q SPECIALTY � OTHER ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �/y,r i � <br /> J'1 I <br /> BUILDER COMPANY /�/TT Vi'�" �C <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RRE� Y/N <br /> ,4ddress t-E-iome �ervices, IICe �icense� � ��J <br /> or 'ie <br /> SIGNATURE Tampa, FL 33619 COMPANY <br /> 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 <br /> SIGNATURE REGISTERED YI N FEECURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 I 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I I 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after su6mittal dale. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects • <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi[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 dumpsler.Site Work Pertnil 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 conslruction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contrac[or sign back of application,nolarized <br /> If over 52500,a Notfce of Commencement is�equi�ed. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />