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` 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � " , Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name (�c� �� Owner Phone Number p� �3.7-S l�-ss <br /> Owner's Addr�ss 3���y �d�✓��� ��� Owner Phone Number ' <br /> Fee Simple Titleholder Name Owner Phone Number <br />� Fee Simple Tstleholder Address <br /> JOBADDRESS 7�� Gl/��� l�/v� Z���y�'el�s LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE'OF CO i STRUCTION Q BLOCK - Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK (/� �/fT Lol'�(r - G��Nl�� ���9� G/u!�/g� LUGrjf���/yi'9C� /��t/'`'« <br /> BUILDING SI�E SQ FOOTAGE� HEIGHT <br /> 1 <br /> OBUI,LDING $ / pO� � VALUATION�OF'TOTALCONSTRUCTION <br /> � O <br /> QEL ICTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLiMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f,�� � Z�i <br /> �� / <br /> OGAi Q ROOFING Q SPECIALTY Q OTHER � n (,��� <br /> / L <br /> FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER ��p}w pqNy <br /> ISIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM COMPANY <br />' SIGNATURE , ' 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 /> . ' <br /> , MECHANICAL COMPANY <br /> SIGIdATURE I REGISTERED Y/ N FEE CURRE� Y/N <br />', Address+ License# I <br /> OTHER " COMPANY . <br /> SIGNAi'URE - Re�isreRe� Y/N FEE CURREK Y/N <br /> Address��- � License# <br /> RESIDENTIAL . Attach:(2)'Plof Plans;(2)sefs of�Building'Plans;(1)set of�Energy Forms;R-O-W.Permit for new construction, <br /> -• , Minimum,tern.(;10)working',days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.Facilities.8�1�dumpster;Site•Work Permit foesubdivisionsAarge projects - <br /> � COINMERCII�L Attach�(2)complete sets of Building Plans plus a Life Safery 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 fo�all new projects.All commercial requirements must meet compliance <br /> , SIGN'PERMIT Attach(2)sets of Engineered Plans. , <br /> k *""PROPERTY SURVEY required for all iVEW construction. <br /> Directions: j � <br /> Fill out application completely. <br /> Owner&+Contractor sign.back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) - <br /> •" Agent(foi th'e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> � �OVER THE COUtdTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers. ,,..,. Ser.vice Upgrades_,AIC..�.._,.,Fences(PIoUSurvey/Footage) <br /> - <' ;..;, . , ..,. .__ „ _ ...�. .. . _.�_,_ .. - . , <br /> Driveways-Not over Counter if on public roadways::needs ROW ' ' - � � �, <br /> . .. ;� � � �:;::; , • �� <br /> , , ,r _ . ., : , i, -. . , - <br /> i <br />��_ <br />