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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' � Building Department <br /> Date Received �7 • 1 (� �j �� <br /> 1 '/� Phone Contact for Permitting � � �C� V � <br /> -r 1-� �-� t o-� - - - - �-� �-�-� - <br /> Owner's Name wi�— U(J�� C/ Owner Phone Number g a 5' �oG� <br /> Owner's Address �� b 1(iL vF—��� "`��- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS w� "( V!C%l�V�,�-� I.(, LOT# � <br /> SUBDIVISI ON PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK �C.C, �j�,GU.1 � (,L /,(�J(, WM I� CJ� ��� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ��BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> OIELECTRICAL $ AMP SERVICE 0 PROciF��SS ENERGY � W.R.E.C. <br /> �,�,�i <br /> OPLUMBING $ V�` � ��� <br /> � � <br /> �MECHANICAL $5 a a 5�� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> i <br /> BUILDER COMPANY <br /> � <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 /> PLUMBE�2 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add'ress License# <br /> MECHANICAL J //_// G//� R�MP RN p �l,� N r' 'vFEE CURRE CeJ Y/N <br /> SIGNATURE ���r �'G� �� <br /> Address 7� � •�i,GUGL,f�� c� License# �/)CC,�CJ� ��U � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addlress License# <br /> i � ieii � isi � i � � isiiiiiiiii � � ii � iiiii � iiiiiiii � iiiiiiiiiiiiiiiiiiiiii <br /> RESIDEh�TIAL 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/large projects <br /> COMMERCIAL Attach(2)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 /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <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 (copy of contract required) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br /> I <br />� <br /> ; <br />