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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> S <br /> Date Received Phone Contact for Permitting �� �`�( = � S 3 I <br /> Owner's Name v-CU.I/�v�L, �r'L<'— Owner Phone Number <br /> Owner's Address J ��� 02� ��� `� Owner Phone Number <br /> Fee Simple Titleholder Name Ow+ner Phone Number <br /> ��i <br />' Fee Simple Titleholder Address • <br /> JOB ADDRESS .J /�D 2�� S 1 � LOT# � <br /> SUBDIVISION PARCEL ID# Z-Zb Z I - e'�Z(�p.Ca(00- �p(o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> I WORK PROPOSED B • NEW CONSTR e ADD/ALT � SIGN Q � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � !YI <br /> BUILDING SIZE SQ FOOTAGE ( HEIGHT <br /> QBUILDING $ • � � Z O� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J��� ��� <br /> �GAS �� ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES 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 CURREI� 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 Y/ N FEE CURRE� Y/N ' <br /> Add�ess License# <br /> OTHER. � 1�' n COMPANY <br /> SIGNATURE l�J�� REGISTERED Y/ N FEE CUR E� Y/N <br /> Address ��� 0 � D•C. License# C C C- O��7�Z- <br /> RESIDENTIAL Attach(2)Plot Fians;(2):sets of Building-Plans;(1)set of Energy Forms;R,O-W Permit for new construction, <br /> Minimum.ten;(10)working.days after subinittal-date. Required onsite,Construction Plans,Sto[mwater Plans w/Silt Fence installed, <br /> Sanita.ry Facilities.&1.dumpster;S.ite Work Permit for subdivisions/large 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for,all NEW construction. <br /> Directions: • <br /> Fiil out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) � <br /> '" Agent(for th'e cont�actor)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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if ori Pubiic roadways..needs ROW <br />