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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 O/� -- ��T <br /> � <br /> Owner's Name � �7 � cS' Ge Owner Phone Number — e�d� �d� <br /> Owner's Address � 9 w OZ- /��li�V C/!?�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �9�d li- �� u��� LOT# � <br /> SUBDIVISION � . w Y-'�c U�C� PARCEL ID# ��--�Y —�—���— ���dO— �9� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK � FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK �.l� /�OCJI�1 U � � <br /> BUILDING SIZE �3 X Sd SQ FOOTAGE Gt� HEIGHT <br /> � BUILDING $/�' �rn Q6 VALUATION OF TOTAL CONSTRUCTION <br /> w <br /> 0 ELECTRICAL. $ 3 � • � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> <N / � <br /> 0 PLUMBING $ `� �" PA$(;p pERMIT S�RVICE <br /> �� (813) 788-5314 <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��( 1-$�B-B2 _7� <br /> 0 GAS � ROOFING � SPECIALTY � OTHER ,U ' O � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO � � <br /> BUILDER ` ����� � /' COMPANY �UI�- J�kJIL <br /> SIGNATURE � C�� ���'�'"'""�s.l REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � / 0"/� , /'� Z --� License # <br /> � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � ' C REGISTERED Y! N FEE CURRENT Y/ N <br /> Address ,STo2- �,JLIL /�!q[L/ �!J/ • Z ' � License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address C License # � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address C License # <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 (3) complete sets of Building Plans p�us a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> �linimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> :]anitary Facilities 8 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. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />