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� 813-780.0020 Fax-813-780-0021 <br /> City of Zephyrhills Permit Application <br /> . . Building Department <br /> Date Received <br /> f� �( � Phone Contact for Pertnitting � 7 33 3 —a 5`� <br /> Owners Name � � c Owner Phone Number ��3- 34 S- G4l <br /> OwnersAddress �66q Jcv�p S OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �6�� Cv. �� �t � S � 335`�� LOT# � <br /> SUBDIVISION PARCELID# 35-�.5-�l-o�aa- cyoc�oo-�obo <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I%�-' (o-�- (p O� � / <br />� BUILDING SIZE SQ FOOTAGE a4�� EIGHT � <br /> QBUILDING $ <br /> ��j QO VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> onn�i� ( � <br /> QGAS � Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> OTHER /�• ��J COMPANY �s,� S�rV�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRFJ� Y/N <br /> Address �3�tg L;��Q. F�� S�� �Q� License# C��13�613$ <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submiUal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 7 dumpster;Site Work Pertnit for subdivisions/large pmjects <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 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 Pertnit for all new prajects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets 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 E2500,a Notice of Commencement is required. (A/C upgrades over E7500) I <br /> " Agent(for the contractor)or Power af Attamey(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />