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813-780-0020 City oF Zephyrhills Permit Application Fax-813-780-0021 <br /> Buliding Department <br /> / Dale Recelved <br /> Phone Contacl(or pertnfttin <br /> Owner's Name UfI1S Owner Phone Number 813-355-3200 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADORESS rZhillsFl33542 LOTX �� <br /> sueowisioN PARCEL ID# 15-26-0170-01200-OODO <br /> (OBTAINED FROM PROPERTY TNC NOTICE) <br /> 1NORK PROPOSED B NEW CONS7R e ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK AC CHANGE OUT Z �Z57'1 - <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �_� <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. . <br /> �PLUMBING $ <br /> X�]MECHANICAL E 3265.00 VALUATION OF MECHANICAL INSTALLATION � ( � (� � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO s�7 7 <br /> BUILUER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUftRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGMATURE 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 /> MECHANICAL COMPANY <br /> SIGNATURH REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address 107 HWY 3 1 DADE CITY FL 33525 �icensett CAC1l�16730 � I� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set ol Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days afler submittal date. Requfred onsile,Construcfion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Fadlitles 8 1 dumpster.Slte Work Permit tor subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safely Page;(1)set of Energy Farms.R-O-W Pertnit for new conslruction. <br /> Minimum ten(10)working days after submiltal date. Requlred onsite,Construclion Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary Facililies 8 1 dumpster Slte Work Pertnit for all new projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPEftTY SURVEY required for all NEW construction. <br /> Direetlons: <br /> Fill out applfca0on completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> " Agenl(lor the conVactor)or Power of Attomey(for the owner)would be someone with notarized letler from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaHon Only) <br /> Reroots if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />