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. ' I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> I Building Department <br /> i Date Received Phone Contact for Permittin <br /> I Owner's Name r1`�1 1-v M� Owner Phone Number ll/�J— O <br /> I Owner's Address f����g ���) YfV�', 2�AY/lJCd,�3 � �I Owner Phane Number <br /> IFee Slmple Tltleholder Name Owner Phone Num6er <br /> i <br /> Fee Slmple Tltleholdar Address <br /> JOB ADDRESS 37�118 G i Il �hre h n�� �' cy���� LOT# � <br /> SUBDIVISION , 1� ' Z PARCEL ID# � �L, ,� `�� OVD' �� <br /> (OBTAINED FROM PROPERN TAX NO710E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME 0 STEEL Q <br /> DESCRIPTION OF WORK T'1 V MI� � ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> �MECHANICAL $ /} � VALUATION OF MECHANICAL INSTALLATfON � � <br /> �.D .� [ � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER ��ef <br /> 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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL < r COMPANY ��X Q �Y CO d I��C�'J�T7 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � v ( ��2� ��l 3� License# 181�fD3 <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllllllllllllllllltlllilllllllllllltlllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Fecllities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building 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,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• ' <br /> � Fill out application completety <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> IOVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs if shfngles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> i <br /> IDrfveways-Not over Counter if on public roadways..needs ROW <br /> � � <br />