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813-780-0020 City of Zephyrhills Permit Application Fax-8�3'�BO-002� <br /> Buflding Department <br /> ' ' Date Received phone Contact for Pertnitting !� �O — (!�/ oZi - <br /> 1 1 1 1 1 1 1 1 1 1 1 i 1 � <br /> Owners Name � � Owner Phone Number �` �� � � <br /> Owners Address 1 I � C � �I...Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple TfGeholder Address <br /> JOBADDRESS �� '_ Q�C� I•V ` LOT# � <br /> SUBDIVISION k LM�� �D� PARCELID# Ia��1i D� -��0'l/WO <br /> (OBTAINED FROIN PROPERTY TAX NOTIC <br /> WORK PROPOSED e NevU CONSTR B ADD/ALT 0 SIGN Q E DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q� n..t. <br /> DESCRIPTION OF WORK D���1(�y'1 / R�-III�V V� �VW , <br /> BUILDING SIZE ��' � �6 S�FOOTAGE �� HEIGHT �rr <br /> BUILDING $ v� VALUATION OF TOTAL CONSTRUCfION <br /> Z oov./ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTAILATION � f <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY Q�/ IIJLLa `� RJ�ICLJJ <br /> SIGNATURE REGISTERED N FEECURREt� N <br /> Address / �VJ� � �G7 License# u`-l_��7S � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE rtEoisrer�o Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERFD Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllllllllllllllltllllllllllllllllllllllllltllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit tor new consWction, <br /> Minlmum ten(10)woriting days after submfttal date. Required onsite,Construction Plans,Stortnwater Plans wl Spt Fence installed, <br /> Sanitary Fec(litlas 81 dumpster;Sfte Wark Pertnit for subdivisionsAarge projec4s <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 submittel date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadljtles&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 aIl NEW construction. <br /> Dlrections:• <br /> Fill out applicaUon completely. <br /> Owner&ConVacto�slgn back of application,notarized <br /> Ii over 52500,a Notice of Commencement is required. (AIC upgrades over S7500) <br /> " Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of conVect required) <br /> Reroofs if shfngles Sewers Service Upgrades A1C Fences(Plof/Survey/Footage) <br /> Drlveways-Not over Counter(f on public roadways..needs ROW <br />