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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> ? 3 Building Department <br /> Date Received �3�� Phone Contact for Permltting �l� �O - � � � <br /> /� � � g ! <br /> Owner's Name �/'���- � L� Owner Phone Num6er '�/�`�V�� <br /> Owner's Address , / V � !SS� 1/rc V` Owner Phone Number <br /> Fee Simple Tltleholder Name /'(' Owner Phona Number <br /> Fee Simple Titleholder Addrass �/� <br /> JOBADDRESS � ��` I�SS"7 ��� LOT# � <br /> SUBDIVISION ��� ��5� PARCEL ID# ��a6'���U/10'��ac�-��"T� <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ,�V�"f�.t���'� Ch.►�-n OC� � (� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � %/� n�� <br /> l� � <br /> �MECHANICAL $�-y�(}0` VALUATION OF.MECHANICAL INSTALLATION <br /> / 7 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 CURHEA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address ; License# <br /> MECHANICAL COMPANY / 4�Me�! �/� C2f <br /> SIGNATURE REGISTERED / N FEECURRE� /N <br /> Address � I�.f fr�-C��P���Y License# C� � /� 7S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N Fee cuwx�n Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu(Iding Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWctlon, <br /> Minimum ten(10)working days after submittal dale. Required onsite,ConsWcdon 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 /> Mfnimum ten(10)working days after submittal date. Requfred onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facililies 81 dumpstec Site Work Pertnit for all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> FlII out application completely. <br /> Ovmer 8 Contractor sign back of apptication,notar¢ed <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgredas over$7500) <br /> •• Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of conUact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />