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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Departrnent <br /> Date Received phone Contact for Pertnitting <br /> � -f-1-TT-- - <br /> Owners Name (/�lV(�C� K.I r N Owner Phone Number ��.T� � ! � d' <br /> Owner's Address 39/3l� �/7 // Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS 3 3 VL��I/ I � ' / ' L J L LOT# � <br /> SUBDIVISION (/ �� PARCELI� rC��` ���Q��B6QQ�oJ�L� <br /> (OBTAINED FROM PROPERN TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � C /! /'f'%(//�'i � � <br /> BUILDING SIZE SQ FOOTAGE�� / HEIGHT [Q� <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �f� O.U� <br /> I QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY � <br /> SIGNATURE r�GISrEr�o Y/ N F�cuwtEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N F�cuwtEn Y!N <br /> Address License# <br /> OTHER COMPANY �lG� G��fi1�.G[L.I'(G� <br /> SIGNATURE �cls�aeo Y/ FEE CURRE� Y!N <br /> Address �� (Q QT+ 3j License# � T�J <br /> IIIIIIIIIIIIIIItllllllllll Illllllllllllllllltltlillllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Pertnit for subdivisions/targe 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 consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsW ction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpsler.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERAAR Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Diredions:' • • • ' • • • • • • <br /> Fill out application completely. • <br /> Owner 8 Contractar sign back of application,notarized <br /> If over.$2500,a Notice of Commencement is required. (A/C upgrades over§7500) � <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />