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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> Building Department <br /> Date lteceived` —C �C Phone Contact for Permitting -- I <br /> Owner's Name �/�'/����;f�'U ��—G/G/✓ �s��/d Owner Phone Plumber ���—<�Z �G Y g! I <br /> Owner's Address �3uv����L L�7�'��C�"�`-�-����.33��� Owner Phone Number i <br /> �����ti ,���i�N%Srir� � <br /> Fee Simple Titleholder Name �' Owner Phone Number ' <br /> I <br /> Fee Simple Titleholder Address <br /> �3 O �'� �T� .�� 1���2ta��.LS � �� ��5�f� <br /> JOB ADDRESS 5�`iG � � ST .z�P�� R�)�,s > �L �J�t-�iZ LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/A�T � SIGN Q Q DEMOLISH ! <br /> i INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION IOF WORK �L�L/-E CG 5'T�PS— �AlL���-S �ti S/�-J�5_ ��J/ZC�� lJ�G�//(/� <br /> BUILDING SIZE ��1 x � Z 2— SQ FOOTAGE c���-I� HEIGHT <br /> �BUILi ING $ I S�O � VALUATION OF TOTAL CONSTRUCTION <br /> �ELEGTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBING $ � <br /> I � ���� I <br /> �MECMANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLO,OR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> ;I �BUILDER �j����%� �O�[ � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COM PANY <br /> SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � <br /> COM PAIdY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address I License# <br /> OTHER ^ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> RESIDENTIAL� <br /> Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> i Minimum ten(10)working days after submittal date. Required onsife,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�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 wmpliance <br /> SIGN PERiVIIT Attach(2)sets of Engineered Plans. i <br /> *"*'PROPERTY SURVEY required for all NEW construction. <br /> Directions: � <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(fo li 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 if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />