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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department ' <br /> Date Received, g � :8/� — �Q�� �/ <br /> , Phone Contact for Permitting � <br /> i '' t ' Q <br /> 'Owner's Name, � Q� Owner Phone Number O�3" ' <br /> Owner's Addrel s �p-/�� 8 /�. Owner Phone Number <br /> Fee Simple Titll holder Name Owner Phone Number <br /> I � <br /> Fee Simple Titli holder Address <br /> JOB ADDRESS ���� /e (� �, LOT# � <br /> SUBDIVISION i �' lEL PARCEL ID# � 'pKp� I ��/G✓ D�GeG.�> ���� <br /> (OBTAINED FROM PROPERTY TAX NOTICEJ <br /> lNORK PROPOSED e , NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /)�'S� n � ��iriv e���T� ` L�(?7�"1 d71IG�U� 3 %� <br /> BUII:DING SIZI SQ FOOTAGE� HEIGHT <br /> ,. i <br /> QBUI�DING $ VALUATION�OF TOTAL CONS'fRUCTION <br /> QELE�TRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUi BING $ <br /> QMECHANICAL $ �� � VALUATION OF M�CHANICAL INSTALLATION <br /> QGA; Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FL i OR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICI COMPANY <br /> SIGNATUItE ' 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 /> MECHANICAL � � , COMPANY ��"�� S r'D R/V�CS�S��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �t�fy-1 I��/e,� � �- ,�� License# � ����� <br /> OTHER� COMPANY <br /> SIGNAT.URE-, REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address� License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)�sets of'Building Plans;(1)�set of Energy Forms;R-O-W Pemiit for new construction, <br /> � .' Minimum.ten(10)working days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary,Facilides.&•1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete s�ts of 3uilding Plans plus a L��e Safety Page;(1)se'r of Energy Forms.R-O-W�ermii 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 /> SIGPI PERMIT i4ttach(2)sets of Engineered Plans. <br /> j "**PROPERTY SURVEY required for all NEW construction. <br /> Dtrections: 1 <br /> Fill out al piication completely. <br /> Owner B��ConVactor sign.back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> •" Agent(for th'e c6ntractor)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) <br /> Driveways-Not over Counter if on public roadways..needs ROW ,- <br />