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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 Permittin �l� �-- E� �� <br /> Owner's Name � �� �'1 � N I �1� Owner Phone Number <br /> Owner's Address �� s � �� 4�� �"' �� � ` 1" u �" Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (p / - 7 zX-�-- , '� � - LOT # �� <br /> SUBDIVISION PARCEL ID# O3 �C r�I '�/D " DG�I �- C� o�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK E Q STEEL Q OTHER <br /> DESCRIPTION OF WORK `f'� cf Il,u-u �-�^'�-E- � ���`����' `�L � � � E- ���'� n <br /> .}— �. "��2 YYt.o�E}�ti' c( <br /> BUILDING SIZE SQ FOOTAGE I� � v S HEIGHT I� � E" �'C'� �'�'`� <br /> � BUILDING $ d VALUATION OF TOTAL CONSTRUCTION <br /> � � Oo�. D <br /> � ELECTRICAL $ � ���� � 0� AMP SERVICE �/ PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ � 1 � DD U �� � <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I 1� <br /> � �l <br /> Q GAS Q ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES �10 <br /> r / C� �( - <br /> BUILDER ��- COMPANY �+�. �-I.M.S � �� D 'O+� � <br /> SIGNATUR � t REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � �' � � � �7 �C `� �-' i y License # � � �S� 7 ���� <br /> ELECTRICIAN t � COMPANY �C°�`� �- � `�' �"� r � � <br /> SIGNATURE • REGISTERED Y/ N FEE CURRENT Y/ N <br /> >', 2 <br /> Address � � `'� � � � S � 'E- ► � �� License # �� � J � �� �'-� <br /> PLUMBER l� �� ��� �. COMPANY l t � �� ' � l � �' S <br /> SIGNATURE :��`^ � �^'�' �-^�-' REGISTERED Y! N FEE CURRENT Y/ N <br /> Address / �'3 �? s'�, ,� � h�U�-� 3 3S 3 License # � ��' �' � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address 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) 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 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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />