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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received ' OS � ' �� Phone Contact for Permittln 1� lU�O —� � / <br /> Owner's Name �� 1 � �-o Ir Owner Phana Number � <br /> Owner's Address 3 7Sv/ � %/e (1' �� L Owner Phona Number <br /> Fae Simple Titleholder Name 1V � Owner Phone Number <br /> Fee Sfmple Titleholder Address /`� <br /> JOB ADDRESS � �S�� �}�I'� C(�-�-C LOT# � � <br /> SUBDIVISION � PARCELID# 03 -a�,-a�-oj ,70'{,�(�(�Q ' � � Q <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED � NSTALL�R B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �� UiJ'� o!•J�� I y�SE�2'�f�CJC�!' (��',J•T SC ����'� <br /> BUILDING SRE SQ FOOTAGE� HEIGHT � ��,�y�v <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ � �n � VALUATION OF MECHANICAL INSTALLATION <br /> `�I <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY - <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY �S (`��SQ.�U(�1.S <br /> SIGNATURE RECI57Eaeo Y/ N FEE cuRaen Y/N <br /> Address / I/i�'J'�--�W C�{�$�- �/} �'� Ucense# l..' L �•�1 8 /� C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fartns;R-O-W Permit for new construc0on, <br /> Minlmum ten(10)working days after submittal date. Requfred onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit far subdiv(sionsAarge proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fomts.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after suhmittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Sfte Work Permit far all new projects.All commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far ail NEW conslrucHon. <br /> Diracdons:• <br /> Fill out application completely. <br /> � Owner$ConUactor slgn back of application,notarized <br /> If over 52500,a Notice of Commencement Is raqulred. (A1C upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized lelter 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 />