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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-002� <br /> Building Departrnent <br /> i <br /> Date Received �"' Phone Contaet for Pertnittin <br /> TTrrrr <br /> Owner's Name t�G N� Owner Phone Number <br /> Owner's Address M � � � Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phane Number <br /> Fee Simple TiUehalder Address <br /> JOBADDRESS �/ � LOTi� � <br /> SUBDIVISION PA Q K fl Zl-L PARCEL ID# —o( � � G I O O'�/OOOO"Q� D <br /> (OBTAINED FROM PROPERTY TA%NOTCE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT [� 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 <br /> DESCRIPTION OF WORK r � �,.� ���,G <br /> 0 �] �y&t`�y] <br /> BUILDING SIZE SG FOOTAGE HEIGHT <br /> �BUILDING $/J �p 2 + ^ VALUATION OF TOTAL CONSTRUCTION <br /> 7 0 J o� <br /> �ELECTRICAL $/ � �. p AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 0 6 � `V��� <br /> PLUMBING $ �� <br /> ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (� ��\I I <br /> �f <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO00 ZONE AREA QYES NO � ,"��/ <br /> ����V <br /> BUILDER C PANY .Z V I r OL�R D�V CLC• <br /> SIGNATURE ERED / N �cuartEn Y/N <br /> Address �AI'C LSON C� ._ NI T �l��•�/C7 license# �7�/ <br /> 7X3 Nl��1 <br /> ELECTRICIAN COMPANY <br /> i <br /> SIGNATURE REGISTERED Y/ N �cuaRen 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 REGISTERm Y/ N FEE CURRE� Y/N <br /> Address License# <br /> � OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N �cutttxEn Y/N <br /> Address License# <br /> i � � � i � � � i � � � � � � � i � � � � � i � t � � i � � � � i � � � � � ii � � i � i � � � i � � � � � e � � � � � i � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsliarge projects <br /> COMMERCIAL Attach(2)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minfmum ten(10)working days after submittal date. Required onsite,ConsWctian Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit far all naw projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW wnstruction. <br /> Dvections:• <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If aver S250D,a Notice of Commencement is requtred. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI771NG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />