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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building D�partment <br /> � <br /> Date Received �Z���j-�� phone Contact for Permitting - <br /> Owner's Name ��e��� ��'�� `�O(�t' (��l1�r1S � Owner Phone Number � <br /> Owner'sAddress 3��Pd� ����h w� OwnerPhoneN'umber <br /> Fee Simple Titleholder Name �� �' Owner Phone Number I <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS • �WC� �`IMe `� �i� W a' LOT# [� , <br /> SUBDIVISION � \(� �!�� PARCEL ID# Z� '�LO - z`^ ��� '���'D�'d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e � INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ' "`� ����e ��)1��,�� <br /> BUILDING SI2E z�tiC� Z SQ FOOTAGE '��Z HEIGHT 1 S <br /> UILDING $ �� O�� LU�ATIO p�OTAL CONSTRUCTION <br /> [��a -. <br /> QELECTRICAL $ ��a� AMP S�ICE "�� O�PROGRESS ENERGY Q W.R.E.C. <br /> v S a� � o� <br /> QPLUMBING $ � � ���f A lw,��, <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />� �'�� � � � 91�� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � F�/1 ArJ CO i�S�(z(,����rJ O-� �� <br /> SIGNATURE �^�`- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address -��. S't �^z.{ {'1 �h( �s License# `l�C.' ��� � ,�� I <br /> ELECTRICIAN COMPANY I��'2��►'J t\CC�2� <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> � 13 t S3 <br /> Address License# �c O(� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllilllllillllll <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(10)working days after submittal date. Required onsiYe,Construction Plans,Stormwater Plans w!5ilt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 /> 5anitary Facii(ties 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 all NEW construction. <br /> 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 />