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- 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date l@cscoive� , Phone•Contact for Permittin �l Ja �� <br /> 9 - <br /> Owner's Nam I /�.1 Owner Phone Number , .D��^ � <br /> Owner's.Address ��b�Q /�jd � .�, Owrner Phone tdumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Tii leholder Address — <br /> JO�ADDRESS D� ��/� EGl} � �� /z �� � !6� LOT# � <br /> sus�ivisio . PARCEL ID# D� a� �� 6�-�l� 40D�4 D5-�.0 <br /> (OBTAIPIED FROM PROPERTY TAX PIOTICE) <br /> WORK PROP SED � . NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL � REPi41R <br /> � � SFR COMM ` OTHER <br /> PROP,OSED YSE . Q Q � <br /> . TYPE OF CONSTRUCTION Q BLOCK - Q FRAME 0 Sl'EEL. ,Q <br /> DESCRIPTIO OFWORK 6��—�, �/� G/�-itl e or�� s �0�� D 7—S � �dN <br /> BUICDING`SI E SQ FOOTAGE - HEIGHT <br /> QBU LDING $ VALUATION'OF`TOTAL CONSTRUCTION t , <br /> QELECTRICAL $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLIIVIBING $ <br /> I " ' ' i <br /> OM CHANICAL $ � �p�O VALUATION OF MECHANICAL INSTALLATION <br /> _` <br /> QGqS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED.F IOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER COflAPANY �I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres License# <br /> ��. , <br /> ELECTRICI, COMPANY � <br /> . SIGMATURE ` REGISTERED Y/ N FEE CURftE� Y/N <br /> Addres Cicense# � <br /> PL`UMBER_: COMPANY � <br /> SIGNATURE REGISTERED `Y/ N- FEE GURRE� Y/N <br /> , Addres License�#°' • ' <br /> ,,MECHANICAL a�� � COMPANY , A�L�/�S �6 Allle(�f����G.�JC'� I <br /> $IGNA7URE REGISTERED . Y/ N FEE CURRE� Y/N I <br /> Addres� � ��/ l r�le/1� �' �–I�lL�S License# ������� <br /> ,..i�Y.�'�. ... . � � , <br /> orHER,� ��- � � , coMPa�ir � � <br /> 'SIGNA'T',URE+,� ,,: ' � � REGISTERED Y/.N FEE CURRE� Y/N <br /> v:���'ti` . , . - <br /> Addres .,,. - � - - �� - � � � ' License# <br /> f.,RE$IDENTI I =::,; Attach`.(2jiPlot'P,.lans;`:(2):sets�of�BuildingPlans;'(1')set'of�Energy,Forms;�R-0-W P.ermitifor new_wnstruction, • <br /> 4 Minimum;ten._(1 U)wo,rking'cJays after.'sutimittal�date. Requirecl�onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> , r�� ��� �� �Sanitary.,Facilities:&{1:dumpster Sife; ,W.ork Permit'forsubdivisions/large:projec4s;' * � ` � - <br /> ;.,COMMERCI,�L Attaah`(2)`complete`sets ofBuilding�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 Facilitles 8�1 dumpster.Site Work Permit fo��all new projects.All commercial requirementsmust meet compliance <br /> `-�SIGN`PERMI Attach�(2)sets of:EngineerQd Plans:' : -. � - � <br /> , - "'*PROPERTY SURVEY required for all.NEW construction. , <br /> - :Di�ecti.ons: I ,�-:.-�. � - �- . . _ . <br /> Fill''out application completely. <br /> Ovirner�Contractor sign�back of application,notarized <br /> If over 2500,a Notice of Commencement is required. (A/C upgrad�s over$7500) <br /> " Agent(f`r the confractor.)orPowerof Attomey(for'tFie oiivner)would be someone with notarized letter from owner authorizing same <br /> OVER THE�OOUNTER PERIIAITTING. -. =(copy-of-contraet-requlred) � �� <br /> Reroofs if sh�gles Sewers _Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlvew ys-Not over Counter if on public roadways.:needs ROW <br />