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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �-`i Date Received !,t <br /> Phone Contact tor Permittin �� �l�ll — �c') <br /> -t-r.�_..m n_�_ <br /> Owner's Name �j^�(� U^�C3� Owner Phone Number 0 E�• <br /> Owner's Address V3 � ��'(�j()-�'��f'� �, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS `�03�3 ��r-T� (�. � �t � ��� �y,�j� LOTl� � <br /> SUBDIVISION PARCEL ID# '�—� "�o�—O� D'�O��-I�OZ�— <br /> (OBTAINED FROM PROPERTY TAX NOTC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q I <br /> DESCRIPTION OF WORK la �� '�Q 3 Y{ a I <br /> BUILDING SIZE S�FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 1 S—�,r�•� AMP SERVICE 2/1f��0 PROGRESS ENERGY Q W.R.E.C. <br /> � 11 W <br /> OPLUMBING $ ����� �� ` <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � 1 <br /> �� <br /> �GAS Q ROOFING Q SPECIALN � OTHER ' r� '�� "� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ; � �I � � <br /> sl 3 ��� <br /> . . . . . . . . . � ��� <br /> BUILDER � <br /> COMPANV <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN rA COMPANY L C�'¢C��1(_(,1 �Lf1L• <br /> SIGNATURE V� REGISTERED Y/ N FEE CURRE� N <br /> Address ��� ��� L �\�(►tii�J 3� �(p� License# �-�30� $ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllllllllllllllltllllltllllllllllllllllllltllllltlllfllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conslruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Fortns.R-O-W Permit for new conslruction. <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for ali new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice ai Commencement is required. (A/C upgrades over S7500) <br /> " Agent(for the contractor)or Power of Altorney(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />