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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 - <br /> Building Deparlmenl <br /> • Y �" " '7/�� ,� <br /> • Date Received �� � phone ContactforPermittin� /b �'` - _ <br /> T17-TITT7- _ _ �_�_ <br /> Owner's Name G V�i'✓ Owner Phone Number `—e (1 � <br /> Owner's Address 3 a �Q I��� V� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I Fee Simple Titleholder Address � <br /> I J08 ADDRESS 3 8� a � Q� Q� �v� LOT# � <br /> SUBDIVISION /�� �� / e PARCEL ID# ��O - DOd�J � V <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q 0 DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK �l(/ � S�rJYOOm � �X ��` . O V C I � a�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $I 1_ -)� VALUATION OF TOTAL CONSTRUCTION <br /> l lp oc <br /> i �ECTRICAL $ � O n AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> v / <br /> �PLUMBING $ 1 //,%►i����" <br /> ��� `� ����5 <br /> I QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `.�� ���`� <br /> i <br /> i �./ <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �����// <br /> Y' <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO f <br /> I BUILDER - ` O�COMPANY a hr� I.LWII rI <br /> SIGNATURE ���V REGISTERED Y/ N FEE CURRE� Y/N <br /> � c2co �u� � ' <br /> Address ✓ License# <br /> ELECTRICIAN /r ��(��(��/(�/\ V C�PANY VGL E�l-e �C/Y I,�. <br /> SIGNATURE ��•��C - - " REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY '' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,I Address License# <br /> � MECHANICAL COMPANY <br /> ISIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> � Address License# <br /> OTHER COMPANY I <br /> � SIGNATURE RE6ISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, , <br /> Minimum len(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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sels of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit(or new conslruction. , <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I <br /> Sanitary Facililies 8 1 dumpstec 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 conslruction. <br /> � Directions• <br /> � Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contracl required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br />