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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Y. <br /> Date Received " �'���%`� phone Contact for Permitting O Y� — ���� <br /> Owner's Name ��.s' � j ��� � Owner Phone Number <br /> Owner's Address ��� �LC �����= �1� ��� �{9��wner Phone Number i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , � �r� ?- 2��/�} �IT�1L�S � � �,% 2- LOT# � <br /> � SUBDIVISIOId PARCEL ID# ` �2/� ( ��o ���Q��� <br /> 1.j (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �l WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> ii <br /> 't � INSTALL REPAIR <br /> #i4 PROPOSED USE Q SFR __ Q COMM 0 OTHER <br /> ;i TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> ; <br />' �j DESCFtIPTION OF WORK �I,vtOG�� - , � ,/��l, �?Q G�,T �2 ' ���/1� �6�/"' <br /> � � <br />� 'I BUILDING SIZE SQ FOOTAGE �.�� HEIGHT � G� <br /> j{_ <br /> � <br /> �� . <br /> OBUILDING $ Q���i,�� � t� VALUATION OF TOTAL CONSTRUCTION <br /> :� . <br /> S' DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> i; Q W.R.E.C: <br /> '� , I <br /> ; �PLUMBING $ �-1_ J � G 3?' <br /> �" (, � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> 9 � <br /> . OGAS ROOFING �Q SPECIALTY 0 OTHER � J7 1� <br /> i ✓ `� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES N <br /> t <br /> BUILDER COMPANY <br /> � SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> a <br /> � Address License# <br /> , <br /> � ELECTRICIAN COMPANY <br /> f SIGIVATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i ' <br /> fAddress � License# � <br /> I , _. <br /> ; PLUMBER COMPANY <br /> � SIGNATURE REGISTERED Y�/ N FEE CURRE� ' Y./N' <br /> � Address License# <br /> MECHANICAL COMP.ANY <br /> SIGNATURE REGISTERED Y/•N. • Fee cuw�en Y/N <br /> � Address ' ense 1 <br /> . R�� � ����� / <br /> OTHER ,/� ,��^��t7� COMPANY � v <br /> i <br /> SIGNATURE ��'�-���0 ''�"/�!L • L`�l� REGISTERED Y,� CURRE� Y/N <br /> ` Address ��� ��e`�� ,�, ��L�,f��� _ 3��-�f License# ��(� �G, � <br /> �=, �b <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 ten(.1.Of..working days after submittal date. Required onsite;Construction�Plans,Stormwater 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1�dumpster.Site Work Permit for all hew projects.All commeroial requirements must meet compliance <br /> - SIGN PERMIT Attach(2),sets of Engineered Plans. � <br /> *'"'PROPERTY.SURVEY required for all NEV1/construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner.&.Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commericement is required. (AfC 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 /> O.VER THE COUN7'ER PERMI'fTIMG" (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />