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, � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> _n_��_�_�_�_r Phone Contact for Permitting - _ <br /> - - - --r7T�- <br /> Owner's Name (,jG/f�'%�YJ �.(J/��,�l�lL/� L .3O) Owner Phone Number <br /> Owner's Address 5,3Q(r-j �Q,��f�/,(J7 /fJZI UZ: Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ly J�J �i/�L�i �Wp LOT# � I <br /> SUBDIVISION PARCEL ID# �3-2�G—Z I�vG6d''(�` �'Gb-���a <br /> (OBTAINEO FROM PROPERTV TAX NOTIC� i <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 1` L (,�'�'� Lj Fj lSu'f <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ <br /> ��ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />� OU.O , <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY D /G / //EI `f�QJG/NC. <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address Z � (,F�JKG FE✓llll I��• License# �c�b%3 z z� <br /> OTHER COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 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 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 <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 len(10)working days after submiltal date. Required onsite,Construction Plans,Stortnwater 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 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 all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for alI NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 ConUactor 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 aulhorizing same <br />� OVER THE COUNTER PERMITTING (copy of contract required) � <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />