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y 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bullding Department <br /> Date Reeeived Phone Contact to�PermlHin - <br /> -rrn-�--�-�-�- - - rrr�-� - - - <br /> .�^' Cfe.l � ( 3 - , <br /> Owner'e Neme __XJJ'2 �� Owne►Phone Number I a.'?77 <br /> Owner'sAddress cJZ��� �Sfh �2i OwnarPhoneNumber <br /> Fee Slmpla Titleholder Name Owner Phone Number <br /> Fea Slmple Tltlaholder Address <br /> JOB ADDRESS , `Z 5'l� /5 /-}I!2 � h f h�1 ls F� 33 � � LOT# J o"Z <br /> SUBDIVISION PARCEL IDq ��'C�(p•o�� -up�- -��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR r <br /> PROPOSED USE Q SFR Q COMM � OTHER ' ' _ '�^2 v� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � �v o2 �y (� 2�01'��� S��' pp� F <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W,R.E.C. <br /> QPLUMBING $ ��� <br /> MECHANICAL $ , �D VALUATION OF MECHANICAL INSTALLATION 1� ~ <br /> QGAS 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 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 CURREh Y!N <br /> Address License# I t ,,,�v' y <br /> -rC/ �I <br /> MECHANICAL COMPANY � £�/_�,�Il 'ra � <br /> SIGNATURE REGISTEREO Y/ N ' FEE RE� Y I N -^C}F- <br /> / ���� <br /> Address �l �( Z GL.$fj'Fit. License# �J"��Jr�v <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License�i <br /> IIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllll � <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum len(10)working days aker submittal date. Required ons(te,Constructian Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary Facilitfes&1 dumpster;Site Work Pertnit fo�subdivisfonsllarge projecls <br /> COMMERCIAL AHach(2)complete sets af Building Plans plus a Life Safety Page;(1)set oi Energy Forms,R-O-W Permit for new constructfon. <br /> Minimum len(10)working days aker submitlal date. Requlred onsite,Construction Plans,Starmwater Plans w!Sill Fence installed, <br /> Sanftary Facilftfes 81 dumpster.Site Work Permit for all new proJects.All commarciel requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW constructlon. <br /> Dlrectlons:• <br /> FIII out applicatlon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice oT Commencement is required. (AIC upgredes over 57500) <br /> " Agent(for lhe conlraclor)or Pawer of Atlomey(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requlred) <br /> Reroofs if shfngles Sewers Service Upgredes A/C Fences(PIoVSurvey/Faotage) <br /> Driveways-Nat over Counter If on public roadways..needs ROW <br />