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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department . <br /> Date Itecelved Phone Contact for Permittfn `6l � - � s6� <br /> Owner'a Name ��/J P ATF� Owner Phone Number ��-�"��� <br /> Owner's Address �DC� ( �'� ��� Owner Phone Number � <br /> Fee Simple Tltleholder Name � Owner Phone Number <br /> Fee Simple Tltleholder Addre�s <br /> JOB ADDRESS 3� d�- EJJ(L� � LOT# � <br /> SUBDIVISION PARCEL ID# O -a b- 6 o O -G -C��00 <br /> (OBTAINED FROM PROPERTY 7'AX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED�USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION [�. BLOCK * Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK � � N�� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> �b(IECHANICAL $ QG VALUATION OF MECHANICAL INSTALLATION fiJ 'l �� <br /> ��o � �� ��� � I <br /> [�GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL � , COMP.ANY {�t'CL (C� �ZU��SG'� I� SC� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address p�b .�x t i ao Z-1'uQ�j �'3353 '�1 License# C/�c l��5���' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licen'se# <br /> RESIDENTIAL Attacfi(2).Plot Plans;.(2)sets.of.Building"Plans;(1)set of Energy�Fortns;R-0=W Pertnit for_new construcUon,.� <br /> � � '-{lhinimum:ten'(•1,0)worlcing days:after.submittal date. Requlred onsfte,Construction Plans;Stormwater Plans w/Sflt Fence installed, <br /> Sanitary FaciUUes&1..dumpster Site Worlc,Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Builiiing Plans plus a Li(e Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Miniinum ten(10)worlcing days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compllance <br /> SIGN PERMIT Attach"(2)sets of Engineered Plans.,. , � <br /> ""PROPERIY'SURVEY requi�ed fo�all NEW construcUon. <br /> Directlons: <br /> Fiil out applicatlon completely. <br /> Owner 8 Contractor sign back of applfcaUon,notarized <br /> If over�2500,a Notice of Commencement is requfred. (AIC upgrades over 57500) ' <br /> " Agent(for the contraotor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />