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c � 81&780-0020 City of Zephyrhills Permit Application Fau-813-780-0021 <br /> Building Departrnent <br /> Date Reeeived Phone Contact for Pertnitfing <br /> 'nT17T <br /> ' Z �y3�-�/ <br /> Owner's Name 0 �i ,C Owner Phone Number <br /> Owner's Address 7�� C Owner Phone Number G�� 7���A p�7 "` <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS - { ( � �Tf L LOT# ��P <br /> SUBDIVISION � � PARCEL ID# �Z—24'Z�'6 Z30���000�q/ D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CON57R e ADD/ALT Q SIGN Q Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> i TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK r(/� � T <br /> � r� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S i ��h VALUATION OF TOTAL CONSTRUCTION <br /> tfi V <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> i 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 rtFGiSTErtEo Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address License# <br /> OTHER COMPANY ��f Gy ��c.ieC• <br /> SIGNATURE rtEcis�o Y/ FEE CURRE� Y/N <br /> Address �°10�6,�. %VC � �fS�f License# <br /> IIIIIIIIIIIIIIIIIItlltlllll 11 1 IIIIIIIIIIIIIIIIIIItltllllllltll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construcdon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Consfruction Plans,Stortnwater 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;('I)set oi Energy Fortns.R-O-W Permit for new canstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�'1 dumpster.Site Work Pertnit for all new projects.All commercial 2quirements must meet wmpliance <br /> i SIGN PERMIT Attach(2)sets of Engineered Plans. i <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrections:• <br /> Fill out application campletety. <br /> Owner&Conlractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the conUactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />