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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (� � ��� _ �� � <br /> Trrr <br /> Phone Contact for Permittin D <br /> Owners Name O.S� /Y�O �� (� Owner Phone Number � �-/�S <br /> Owner'a Address �,�j CL /LC Owner Phone Number <br /> Fee Simple Titleholder Name ;� ` T Owner Phone Number <br /> Fee Simple Titleholder Address .�V � <br /> JOB ADDRESS �� � O�J �Q_. LOT # � <br /> SUBDIVISION l.� � Z i PARCEL ID# �� - �p ^a. ( ' � Q � (7 - � ��q p (1, - p + � <br /> (OBTAINED FROM PROPERTY TA7( NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ' 1 �O( 4� E ��j� <br /> BUILDING SIZE I SQ FOOTAGE ZCc I 3 � HEIGHT �� <br /> QBUILDING $` Q' VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �� . / � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY S� � r- � <br /> SIGNATURE REGISTERED Y/ N FEE CU RE� Y/ N <br /> Address � Z� �3S License# �� (J �7( /3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> license # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y! N <br /> /�df@SS <br /> License # <br /> OTHER COMPANY --� <br /> SIGNATURE REGISTERED Y/ N iEE CURREA Y/ N <br /> Address <br /> License # <br /> 111111111111111111111111111111111111111 <br /> RESIDENTIAL Atlach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days aRer submitta� date. Required onsite, Construction Plans, Stormwater Plans w! Sdt Fence installed, <br /> Sanitary Facilities 6 1 dumpster; Site Work Permit for subdivisionsAarge projeUs <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (t) set af Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days afler submitlal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects. All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred fo� all NEW construction. <br /> Directlons: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notanzed <br /> If over 52500, a Notice of Commencement is requlred. (A/C upgndes over j�500) <br /> " A9ent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Sernce Upgredes A/C Fences (PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />