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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> /` Phone Contact for Permitting <br /> /Owner's Name / [ �W e l S �^ Owner Phone Number <br /> 4Owner's Address 5 � � }ti `�LOwner Phone Number <br /> wrier's Address <br /> Fee Simple Titleholder Name tom(,(/ . ( / Owner Phone Number)`t <br /> Fee Simple Titleholder Address C)-�, to f W&J L ue S (� <br /> GLOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK • FRAME STEEL = <br /> ` <br /> DESCRIPTION OF WORK cU^e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION'OF TOTAL CONSTRUCTION", Z, <br /> =ELECTRICAL $ AMP SERVICE = PRCO�GRRE�SJSfENERGY 0 W.R.E.C. <br /> =PLUMBING $ l <br /> �.f7t'- t ^ <br /> r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER 40e, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N0 " <br /> =LDER - / PANY �� it <br /> SIGNATURE / // "REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN r-- V COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> ess ! 3 5 0 Ck arh ct Licenself <br /> LUMBER., COMPANY <br /> TUBE REGISTERED Y-/ N FEE CURREN MY/N <br /> AddressLicense# C <br /> �J <br /> MECHANICAL'_ COMPANY t1 �l�rj OLSco <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address ` t�C1 <<<S 3g License# �`i g� <br /> OTHER,1 COMPANY <br /> SIGNATURE., REGISTERED Y/.N FEE CURREN <br /> Address:. License# <br /> HHH <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 Jem_(,10)working?days after submittal,'date. Requiredonsite;Construction 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 /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fog all-new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of,Enginedred 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)orPower of Attorney(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />