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813-780-0020 City of Zephyrhills Permit Application Fax��&�80-002� <br /> ; • Building DepaAment <br /> Dete Reeelved j '" � 1� phone CoMact for Permittin CJO-� —U(,T' — � �� <br /> Owner's Name ud� 1't'�" 1 �'`�i i�-` Iv � ! Owner Phone Number T�'"r —10 1 Z���� <br /> Owner's Address L) li L� { e F Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple TiUeholder Address <br /> JOB ADDRESS • � ��� �.✓ �- '�E?�y���►L�-S 3�� LOTt �. <br /> SUBDMSION PARCEL ID�Y L 4lJ"�I ����✓V,•-�����U��� <br /> (OBTAINED FROAA PROPERTY TAX HOTICE) <br /> WORK PROPOSED I—I NEw coN57R e ADD/ALT � SIGN Q Q DEMOIiSH <br /> I�P �NSTALL REPAIR <br /> PROPOSED USE �, SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK cJ��✓P�¢� ����UL' � \✓�� �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �ALUMBING $ �n� <br /> � �a� .�� � � � �, <br /> � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS O ROOFING Q SPECIALN � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPAN <br /> SIGNATUR� REGISTERED ' Y/ N �Curtaen Y/N <br /> Address License iF <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address �-�----�_ License# <br /> PLUMBER j� C.'� COMPANY ����'�`�� �1�vTTi•— W+'v 1�'\�t 11�i � <br /> SIGNATUf�� - _ REGISTFAED / N FEE CURRE� /N <br /> � <br /> Address (G'��� ,L•�'��;"��3�TP� �3G Licensei� �G'e7 � 5 <br /> MECHANICAL COINPANY <br /> SIGNAll1RE REGISTFAED Y I N FEE CURREh Y/N <br /> Address Llrznse* <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREA Y/N <br /> Address V��e� <br /> 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAI. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set ot Energy Forms;R-O-W Pertnit for new consWdion, <br /> Mlnimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sllt Fence Installed, <br /> Sanitary Faciii6es&1 dumpster,Site Work Pertnit for subdivisionsllarge projecls <br /> COMMERCIAL Attach(3)complele sets of Building Plans plus a Life Satety Page;(1)set of Energy Fortns.R-O-W Permit for new consWdion. <br /> Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permil for all new projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Ergineered Plans. <br /> ""PROPER7Y SURVEY required for ali NEW construdion. <br /> DlrecGons:• <br /> Fill out application completely. <br /> ONmer&ConVactor sign barJc of application,notarized <br /> If over 52500,a Notice of Commeneement Is requlred. (AIC upgrades over 57500) <br /> •• Agent(for the con[ractor)or Pwrer of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITI7NG (Front of Application Ony) <br /> Reroofs K shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Drivaways-Not over Counler if on public roadvrays..needs ROW <br />( � <br />