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813-780-0020 City of Zephyvhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � DateReeeived PhoneContactforPertnitting 7�� �O - TD <br /> Owners Name c1� � Owner Phone Number ��J-3`�5�'9 <br /> Owners Address Y Owner Phone Numbar <br /> Fee Simple Titiaholder Name Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> J08 ADDRESS 3�331 ����� Q/17 Y �/ ~ LOT# � <br /> SUBDIVISION �//Q 2 PARCEL ID# � `!-JyG/'�� �'�(.(iVW� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER p <br /> TYPEAF COP(S'�RUCTION Q.,., BLOCK - Q FRAME Q ST�EL Q <br /> DESCRIPTION OF WORK �'! ���m � � � Z Z� $Q � / a .� <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> QBUILDING $ /n VALUATION OF TOTAL CONSTRUCTION �� <br /> L �� ��` <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C���7� `��'' <br /> QPLUMBING $ � C��6V �� � � � <br /> � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V ���� � <br /> � I"��"-(/' " � t�s'� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ��(�' c S �y1,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO _ n!�,� <br /> `�P(.V <br /> i�+..r�l..f..6-1..i- I..t- ...�..-.�.� <br /> ��'��� � <br /> BUILDER / � � OMPANY Q�J <br /> SIGNATURE G�/-�L� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Qj' /7� � License# L.I.Z �[/ o� <br /> ELECTRICIAN COM PANY <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 /> M ECHANICAL COM PANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll <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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 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 aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW construction. <br /> ...-.-.-�....-•--r�1..�i-.F�:�.-.-.-..r.-L-1-4.�..�I..H1..��1-.F:-.�.�.��I--�:�.�..-r�..-r.......� <br /> �,�„r����„�„�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 32600,a Notice oi Commencement is required. (A/C upgrades over$7600) <br /> " Agent(for the conVactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requlred) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />