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i <br /> �, <br /> _ i 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � Building Department <br /> i; ' <br /> I Date Received � � g�3 '��Z ��' "Z� <br /> Rhone Contactfor Permitting <br /> il Owner's Name ��.tL..1�1'h �I��5 l� Owner Phone Number <br /> I� �^ �/� <br /> I Owner's Address ��ti �IAL Owner Phane Number <br /> i' <br /> n, <br /> 'I Fee Simple Titleholder Name Owner Phane Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�t�ya P Y�� � I�1�W LOT# � <br /> SUBDNISION PARCELID# ��J�'ZLQ.ZI ��I O-- �C�C7Cj—�-V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R e ADDIALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �UILDING S• ` � : I� j VALUATION OF TOTAL CONSTRUCTION <br /> �-f• <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $ ��� (� <br /> � C� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION c� <br /> � � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> �(� ^ � �11 Iv <br /> BUILDER �{' � }� COMPANY <br /> SIGNATURE 1 REGISTERED / N FEECURRE /N <br /> Address 0������ C.�l ��w�y� Lfcense# 5 ��� I <br /> ELECTRICIAN COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N i <br /> Address License# ' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REOISTERED Y/ N FEE CURREA Y/N <br /> Address License# I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIililllllllllllll <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 Pla�s,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction 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 /> Dlrectlons:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 37500) <br /> •' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (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 />