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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received = Q Sl, <br /> II� pp Phone Contact for Perniltttn - <br /> Owner's Name VC .� Owner Phone Number <br /> Owners Address WM Up C f % Owner Phone Number <br /> Fee Simple Titleholder Name, <br /> ame Owner Phone Number <br /> I <br /> I ;- <br /> : <br /> Fee Simple Titleholder Address j <br /> f y� <br /> .108 ADDRESS LOT# <br /> SUBDIVISION we `nV C ( PARCEL ID#I-ag—a La -a I - -o CS ao <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH ' <br /> e INSTALL 8 REPAIR <br /> PROPOSED-,USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Qt}r{ `BLOCK Q FRAME 'STEEL �] <br /> DESCRIPTION OF WORT( <br /> { 1 <br /> BUILDING SIZE j SQ FOOTAGE -�: HEIGHT. <br /> ;.�� <br /> =BUILDING VALUATION"OF TOTAL CONSTREICTION <br /> =ELECTRICAL - AMP SERVICE Q PROGRESS ENERGY 0 W.R,E.C. <br /> I <br /> PLUMBING s 1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> C]GAS Q ROOFING SPECIALTY OTHER, j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES. NO <br /> I <br /> _ I <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN <br /> Address License#- <br /> . I <br /> ELECTRICiiW-, COMPANY I. <br /> ,SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License#,l <br /> I Ij O On I <br /> SIGNATURE '' C� l. COMPANY ��C 1 <br /> REGISTERED Y./:.W FEE CURMPLUMBER <br /> Y/N <br /> Address ��� <br /> } ucense# <br /> MECHANICAL: COMPANY . <br /> SIGNATURE REGISTERED: Y./.N. . FEE cuRREF: <br /> Address . License#. <br /> OTHER <br /> I <br /> SIGNATURE. ., : :- " _ <br /> REGISTERED Y/ N.,..; FEE CURREP <br /> Address License# <br /> RESIDENTIAL;;: Attacti"(2);Plot_Plahi e,(2)sets:db0ding-Plans;(9)set of Ener6y:Foim6 -R.O-W`Perh►lt foi new.construcpgn,. <br /> Mlnimum_ten(14);working tlays_after„submittal date:Beguiled onsite;=Constiitctian Plans;Stanriuvatei'Ptans w!SI1FFence installed, <br /> Sanitary Factlilies;&..1�.dumpster;Slte Work�l?ermit for subdivislohrge es. ;. ;:-:::•. '. <br /> COMMERCIAL Attach(3)complete sets of BUildtng Plans plus a Life Safety Page,s/la(1}setproJ of Ecfnergy Forms.ROW 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 for all new projects-All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets of'Edbineered Plans.. <br /> ""PROPERTY SURVEY required for att 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 /> DYER THE COUNTER PERMITTING -(Front of Application Only) �. <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 /> I <br /> f <br />