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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> • Date Received 1`�� a D I Phone Contact for Permittin `.. L'S-1 - �i � �� <br /> Ownefs Name �.l Cl C� 1�Q Owner Phone Number <br /> Owner's Address S �� �1� kJ� Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ����\ t-\ �� L�J�. LOT# � �s <br /> SUBDIVISION (� n Z� PARCELID� , - -�I- �`�� ' ����'�• n - <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �'� Cl, C� � <br /> BUILDING SIZE «��( SQ FOOTAGE �`7�3 HEIGHT `"► � <br /> OBUILDING $< ,yALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE �� � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� - !�J <br /> � U `� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER / �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��hl-- <br /> . � ��� <br /> BUILDER • G• • •fe •COMPANY �� � lU l h.�I�f_ ��� ��� <br /> SIGNATURE /� f REGISTERED Y/ N FEE CURREN Y/N <br /> Address �u �� License# � 1l L <br /> ELECTRICIAN COMPANY �� \�'�l. ' lL6 �K_lS h.[�,� <br /> SIGNATURE � REc157�iEo Y/ N FEECURREN Y/N <br /> Address 1` �G � � Llcense# �C �• Q��`��0 �1 <br /> PLUMBER COMPANY �II � `t� � �= I-� �'� S� <br /> SIGNATURE REGISTERED Y/ N FEECURREN Y/N <br /> Address � L�o'�'cJ License# T ' �l7 a � <br /> MECHANICAL � COMPANY , I f�Tl � C�ih �U <br /> SIGNATURE REGISTERED Y/ N/ FEE CURREN Y/N <br /> Address ` � �'� � ,( License# ��W S <br /> OTHER COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEECURRQJ Y/N I <br /> Address License# I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllll <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 submitlal da[e. Required onsite,Construclion Plans,Stortnwater 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-0-W Permit for new construction. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets o(Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrecllons:• <br /> Fill out applicalion complelely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes 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(PIoVSurvey/Footage) <br /> Drfveways-Not over Counter if on public roadways..needs ROW <br />