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813-780-0020 City of Zephyrhills Permit Application Fax-H73-7S0-DU'L1 <br /> Building Department <br /> Date Received Phone Contact for Permittin 8 � � - O$ a. <br /> Owner's Name A �� C �� Owner Phone Number 6�'� �Z ��8� � <br /> Owners Address �[, . � [��a - �.1� 2.1 Owner Phone Number `d' � ' � `��� � <br /> Fee 3lmple Tltleholder Name r' • ( 2.F�( o�S Owner Phone Number �— � <br /> Fee Simple Titleholder Address � �J • �, v� h � ( � � <br /> JOB ADDRESS �P �� � C�al ( C3 f � �a -- `� h, (L r � � �, LOT # � <br /> SUBDIVISION 11. 2rt� l0 � l . PARCEL ID# d�' Z� "a-� '� D( D� ��d �- OC3 � 8 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK ('Z � f-t l�'�.lZ-�[ O h } F1-�, <br /> BUILDING SIZE ! D 3Q FOOTAGE `�(J HEIGHT I z t— (�r�K <br /> BUILDING $�06� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ •, e <br /> � � �� �v <br /> QMECHANICAL $ N � VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> Q GAS Q ROOFING Q SPECIALTY � OTHER � 1���� <br /> � �`�� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO � � <br /> T <br /> BlJ6LDER c - CaMPAiVY �'�� ��� <br /> SIGNATURE • VJ REGISTERED Y/ N FEE CURREP Y/ N <br /> Address � (�j k�'+� S� " h 2�fL'�� License # � <br /> ELECTRICIAN N ^ COMPANY <br /> SIGNATURE /'s' REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # <br /> MECHANICAL � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess Ucense # � <br /> OTHER �` ^ COMPANY <br /> SIGNATURE f� REGISTERED Y/ N FEE CURRE� 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 constructlon,. <br /> Mtnimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ SUt Fence installed, <br /> Sanitary Facilitles & 1 dumpster; Site Wortc Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Mi�imum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instalied, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all �ew projects. All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> *"`PROPERTY SURVEY requ(red for all NEW construcdon. <br /> •. � �. <br /> ��....��. ����R,����.,��..� � <br /> � �.�.�.�� ��ua � ia.0 i�.u.i� r r <br /> D(rections. <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of applicaBon, notarized <br /> If over;2500, a Notice of Commencement Is requlred. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (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 />