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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received [Phone Contact for Permitting �J Sy — I a I <br /> Owner's Name �2�rr� 'S Owner Phone Number �3-y�0 —� y� <br /> Owner's Address I Po B ox 8-0 0 Owner Phone Number <br /> Fee Simple:Titleholder Name S C 0. Owner Phone Number <br /> Fee Simple1itleholder Address 0\ ox <br /> JOB ADDRESS S A ( v O LOT# <br /> SUBDIVISION PARCEL ID# I '�jo� a�-��� 0- 0-306' 0036 <br /> 'i. (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0. = DEMOLISH <br /> R INSTALL ® REPAIR <br /> PROPOSE DI,� USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION �R BLOCK 0 FRAME = STEEL = <br /> DESCRIPTI'ON.OF WORK S1 e lA0`fK- Av1Y� 't Yat(1 IL4`l S-{�►'vn �'j h e .. <br /> ;i <br /> -BUILDING.SIZE F SQ FOOTAGE HEIGHT <br /> It <br /> I UILDING O� ! ALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> I <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��] <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED!FLOOR ELEVATIONS FLOOD ZONE AREA =YES iNO <br /> i , <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURREN <br /> Address F License# ' <br /> •;` ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED "' Y'/ N FEE CURREN LILN <br /> Address License# <br /> PLUMBER! COMPANY <br /> SIGNATURE REGISTERED `Y/ N`;° FEE'CURREN Y/N <br /> i <br /> Address', License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./.N:: FEE'CURREN Y/N <br /> Address License# L , <br /> OTHER.:.'.;; AifRCJ 1� COMPANY �t n, �d e� �Dlt t T <br /> SIGNATURE REGISTERED Y N FEE CURRE� <br /> Address 4oJv. { `tGi • License# LC U/ I <br /> ;.. , <br /> RESIDENTIAL Attach(2)Plof Plans;(2)sets:of Building Plans-,(1);set of Energy Forms;R-O=W_Permit foi,new-construction,.. <br /> Minimum ten(10)working days after submittal"date. Required onsite,Construction Plans;Stormwater Plans w/Siit 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 /> Directions: <br /> Fill out application completely. )r�y ',y", •�;.way,. _., .,:,._;; e. <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:000NTER PERMITTING (copy of contract required) - <br /> Reroofs if shingles°-- _ .Sewers.-_a,...Setvjce'Upgrades A/C Fences(Plot/Survey/Footage) ' '" �:• .: •- <br /> Driveways-Not;overCounter if on:public roadways..needs ROW <br />