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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 00.( ►" 1�, t-1-1 I-f <br /> Owner's Name 0 a- 1 � A�GLmY�D GD rf D Owner Phone Number � ( 3 r 2 I D 3 <br /> Owner's Address ^] 11 "t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder essE a <br /> JOB ADDRESS -2-( - L LOT# <br /> i <br /> SUBDIVISION __FARCE DIL# 'Z to�.ZI _cab( D-•D�3 oo-- 6 oq (7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER D 4 ..Y1S <br /> TYPE OF CONSTRUCTION 0 BLOCK n 1Q FRAME 0 STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> BUILDING r A}j VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> J <br /> =PLUMBING $ � CA <br /> Vt �] 0c <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ZS" <br /> =GAS ROOFING 0 SPECIALTY OTHER ��&a <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO U ' �� <br /> BUILDER V r <br /> L <br /> COMPANY =ZCP—QCL-(A ����. L-, C, <br /> SIGNATURE T REGISTERED Y N FEE CURREN /N <br /> Address `1 ��i� �L3� Q`,2.2a9- License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> --Address ( License# I <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 onsite,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 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 /> . . <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 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 />