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813-780-0020 Ci�y of Zephyrhills Permit Application Fax-813-780-002'I <br /> y Building DepaRment <br /> _:� <br /> Date Reeeived phone Contact for Permitting p�3 lX�� — �3 LI <br /> Owner's Name �1 ' Q U'Z(/v�� Owner Phone Number D — <br /> Owner's Address �I �I� S�•Zf � — Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �I3� 1� JT. L� 11 r�\���5 �� `-( LOT# � <br /> SUBDIVISION PARCEL ID# lI'�Q— ' ��(v`�'� —�I 5 <br /> (OBTAINEO FROM PROPERTYTAX NOTICE� <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Pt��,bi n � � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � V <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION /�� <br /> �`/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.� ` <br /> �PLUMBING $ !� O�j <br /> O <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE ��isr� Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN �OMPANY <br /> SIGNATURE rtE�is7Ert� Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER y, COMPANY Ue- P\U�Y11,XJ� S ��_• <br /> SIGNATURE -1 REGISTERED Y/ N �cuwxEn 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 � �'(0(� l�C. (� Cl License# � � <br /> 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 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 I 1 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. i <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Diredions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicalion,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the 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(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />