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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> � - <br /> Date Received �Q c, <br /> ��' �% �'� Phone Contact for Permittin �f3 �f� — T�7� <br /> Owner's Name ���-e0 U—�+ � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa ° <br /> JOBADDRESS .�73 y ,�Aa�G 4wol�e S � LOT# � <br /> SUBDIVISION lre� ��`'^ � PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX 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 Q BLOCK ' Q FRAME Q STEEL [� <br /> DESCRIPTION OF WORK �-'e �'� ��� �'i�v�� Pa��e� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT . - <br /> QBUILDING $ VALUATION`dF TOTAL CONSTRUCTION <br /> LECTRICAL $ /' '� � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> U <br /> OPLUMBING $ ' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> . . ��� � <br /> OGAS Q ROOFING Q SPECIALTY � <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER - COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address Cicense# <br /> ELECTRICIAN �.,ir�� �--C�'-.�,,. "`" COfHPANY ��"' (S C/�`�"��'S-�� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � 8 3 °� ��L�-v�c�C �fp s"' � � L.336�-/ License# �G ��' b'���,C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FeE CurtRE� Y/N : <br /> Address- ' License# <br /> OTHER COMPANY <br /> • SIGNATURE - � REGISTERED Y/ N . FEECURRE� Y%N' <br /> Address � License# <br /> RESIDENTIAI: �:Attach(2).,Plot�Plans;(2)sets=of-Building'Plans;(1)set of Energy�Forms;R-O-W Permit far new construction, <br /> Minimum.ten�(:1.0);working days�after.subriitttal date: Required onsife,ConsUuction�Plans;Stortnwater Plans wl Silt Fence installed, <br /> �SaNtary FacfltUes,:&..1.;dumpster Site'Work.P.errnit for subdiv,isionsAarge projects : . <br /> COMMERCIAL Attach(3)com�pleCe sefs ofBuilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuotion: <br /> Minimum ten(10)wor�ing days after submfttal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilitles&1 dumpster.�Site Work Pertnit for all new projeots.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Blans.:,,.�- �� <br /> "'"PROPERTY SURVEY reguired for all NEW construction. , <br /> Directlons: <br /> Fill out applicadon completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over$T500) <br /> '" Agent(for the contractor)or Power�of Attomey(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 Upg�ades A/C Fences(Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />