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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department > <br /> Date;Received ` Phone Contact for Permitting — <br /> �� /� � � <br /> Owner's Name L'�'�` �i !67~��- Owner Phone Number <br /> Owner'`s Address ! \aC �� (�Q��< t^-•�Y- S� ��'ZOwner Phone Number �� ����� ''��� <br /> � <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> L / �JOB ADDRESS ��I 7f s� �C � y''7�/G(� LOT# <br /> �� ; - <br /> k <br /> �'� SUBDIVISION - PARCEL ID# <br /> ;; i �(OBTAINED FROM PROPERTY TAX NOTICE) `� <br /> +� WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> ? INSTALL REPAIR <br /> PROPOSED USE Q SFR _, Q COMM 0 OTHER <br /> �( TYPE O,F CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> �� ' <br /> �# ; �� / <br /> j} DESCRIPTION OF WORK �P.�i-E�,f� ✓� 'rvo � �d � `'P �G� ��. � � <br /> ; <br /> �j BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> � , <br /> OBUILDING $ ��n/�/' VALUATION OF TOTAL CONSTRUCTION <br /> $ ( ?5 <br /> �r , <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C: <br /> a ! <br /> � QPLUMBING $ , �� <br /> � �� . � <br /> { QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �` „� <br /> ' � v <br /> ° Of GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � a�� <br /> Y <br /> a BUILDER J/ COMPANY O�-C- �uc(,��� h. d�'G o•/s <br /> � SIGFIATURE � REGISTERED Y/ N FE CURRE� Y/N <br /> � � <br /> � Address ,, 7 Z�l 'v� ✓�C. otr*- � License# �� l.�Z �� � <br /> 7 <br /> �� ELECTRICIAN COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , <br /> i ` , <br /> � Address � License# - <br /> � , . <br /> I PLUMBER COMPANY � ' <br /> � SIGNATURE , REGISTERED . Y�/`N . FEE CURREK • "'Y/•N` - <br /> � Address • License# . <br /> ' MECHANICAL. COMPANY - <br /> � SIGNATURE , ReGisTEReD Y/�N -�FEE CURREI� �; Y,/N-- •,. <br /> , .. <br /> ' i ' , � <br /> Address License# <br /> OTHER � COMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ;: , <br /> f; <br /> �' Address License# <br /> ;`: � <br /> '�� RESIDENTIAL- �Attacfi',(2)Plot Plans,'(2)sets of Building Plans;(1)set of Energy Forms;;R=O-W.Permit'for new consUuc6on,. <br /> ;-.�. , . - <br /> Minimum ten�.(.1.0)':working days'after sutimittal date. Required onsite;-ConstructiomPlans,Stormwater Plans w/Silt Fence installed, <br /> '- Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects - � <br /> �''' COMMERCIAL Attach 2 com lete sets of Buildin Plans lus a Life Safe Pa e; 1 set of Ener Forms.R-O-W Permit for new.constcuction. <br /> � ) P 9 P tY.- 9 � ) 9Y <br /> _ Minimum ten.(10)working,days after submittal dafe. Requi�ed onsite,Construction.Plans,Stormwater Rlans w/Silt.Pence lnstalled. <br /> `� Sanitary Facilities�&1 dumpster.Site Work Permit for all'new p�ojects.All commero'ial requirements must meet compliance <br /> '4" - SIGN PERMIT Attach(2),sets of Engineered Plans. - <br /> ,; <br /> , ""'PROP,ER'fY.SURVEY required for all NEVV construction. <br /> i Directions: <br /> Fill out application completely: <br /> Owner.&Contractor 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 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 />