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813-780-0020 r � ✓\ <br /> City of Zephyrhills Permit Applicatioru� -�',� ��� �\ Fax-813-780-0021 <br /> ,_ Building Department � <br /> Date Received <br /> � � � � � � � � Phone Contact for Permitting l � __ �, '�' , �� �� � � � � <br /> � 1 � � � <br /> Owner's Name � M�. � q.� Owner Phone Number � � � ��V <br /> Owner's Address � j .( � r(' Owner Phone Number ��'� Q 0�� l� <br /> Fee Simple Titlehdder Name Owner Phone Number ���j ��� - ��, � <br /> Fee Simple TiUeholderAddress <br /> JOB ADDRESS �� �, �0. � a.t L LOT # C� <br /> SUBDIVISION PARCELID# �a �aj ^ l— p� �� O��c�i Q Q O C(�,�� a•�, <br /> (OBTAINED FROM PROPERTY TA% NOTICE) '( �� 1 <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH t � <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � <br /> OTHER <br /> TYPE Of CONSTRUCTION � BLOCK F E• � STEEL Q —� <br /> DESCRIPTIONOFWORK `��'O , T Y�QQ��0. O � ���.�� ��(��� \ � �n <br /> Y�o d.\C4 c� \ Cl eA <br /> BUILDING SIZE SQ FOOTAGE p 3 HEIGHT � � ��� � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � � <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �� I� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY V.J0���4«. � (�C,�p�� �� � <br /> SIGNATURE <br /> REGI$TERED �� rj � FEE CURREN I V/ N � <br /> — ��� 6 � �' License # y � Q ,^ <br /> �J�'Z ELECTRICIAN �� .�L COMPANY <br /> r �p�, �"� SIGNATURE `�' � �, REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> S� �� � , C7 � „'�— -C� <br /> !✓cL C �ress , icense # <br /> !J" <br /> � PLUMBER �P �� COMPANY <br /> SIGNATURE REGISTERED Y/ N F E E C U R R E � Y/ N <br /> .� Address License # <br /> F � j MECHANICAL � � �(� J� :� � <br /> COMPANY <br /> SIGNATIlRE ���� REGISTERED Y/ N FEE CURREN Y/ N <br /> � a4C� <br /> Address <br /> "ro � � 3 � License # —� <br /> '��(} 6�� OTHER � `— <br /> COMPANY <br /> � SIGNATURE REGIS7ERED Y/ N FEE CURREN Y/ N <br /> ��� Address License # � <br /> 11111111111111111111111111111111111111111 <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, Construdion Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus�a Life Safety Page; (1) set of Energy Forms. R-O-W Pertnit for new construction. <br /> Minimum ten (10) working days after submirial 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: • <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 y7500) <br /> " Agent (for the conhactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shing�es Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />