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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �j 3 '�v a _�O� <br /> Phone Contact for Permitting <br /> Owners Name �rQ �'�f 0��� I 1 Owner Phone Number ����7� l—U� I I <br /> Owner's Address �� L vC� TUJ �ll�• � � �1�I S J y�Owner Phone.Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �J�J�( ���-i TUS � " � � h�llS�l 335�a LOT# � <br /> SUBDIVISION :(T-1 ��� � PARCEL ID# Da -a�-a I-b a y� -t�oc�a-o�a � <br /> (OBTAINED FROM PROPERTY TAX NO7lCE) . <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> t`TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br />, DESCRIPTION OF WORK eCt.`�Ot'�" ��'"�OU��l��D S UGi�P,� C� �� I �hi� ��P <br /> � BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ � ��(`), � VALUATION OF TOTAL CONSTRUCTION <br /> CJ <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ �(_� ` V <br /> �(1. V <br /> jc <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COAAPANY � <br /> SIGNATURE 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 /> MECHAfdICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ��� �I ��� COMPANY � ,u�f� ` G� ' '�'�' <br /> SIGNATURE ���� REGISTERED Y Z N FEE C RE� Y/N <br />' Address � ���� SI� `, LQ h (h,I I S 3 35�� License# C �3�S S�S <br /> I � � � � � � � t � i � � � iiis � t � � � � � � i � � � � � isi � e � � � � � � ii � � � i � a � � � � � � � � � � � � � iei � <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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/Iarge projects <br /> COMMERCIAL Attach(3)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/Silt Fence installed, <br /> Sanitary Facilities&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 all NEW construction. <br /> Directions:• . ` . - • ' ` � . - . <br /> Fill out application'completely: ' � ' : _ ' ' <br /> • OwneP&Contractor sign back of application,notarized ' , ',... ' ' • � <br /> If over-$2500,�a.Notice of Coinmencement is required. (A/C upgrades over$7500) , �-:, � ,,t„'-� � , �: � <br /> _ . Agent.(for the contracto�}or Power of Attomey(for the owner)would be someorie with notarized letter•.from-owner.autborizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />