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�0# y �� <br /> 813-780-0020 City of Zephyrhills Permit Application 7 Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for PermittingEP ( ) <br /> Owner's Namep� tJ1w� - Owner Phone Number <br /> Owner's Address (Ql'J LGLr5iv) P�_LJLP_ Owner Phone Number <br /> � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J rr� SSA�r' O � 7 r LOT# <br /> SUBDIVISION <br /> l^i�l��� PARCEL ID# D2'- d0) 0 — �S��L! — 024 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK ' $' �b��`rVY�S ��— ell S +I ' w\Q,Y� <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> CKIELECTRICAL $ IF�, tJb AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> fl <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address t License# <br /> ELECTRICIAN (��/✓"` �� COMPANY <br /> SIGNATURE +' REGISTERED Y/N FEE CURREN Y/N <br /> Address r ��)Uy Zj� _;j S �p License# �e_V1 x) 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <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 /> Directions: a.....,., .. s... r <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 <br /> ).9�,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 />