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813-780-0020 City of Zephyrhills Permit Application ��{ Fax-813-780-O <br /> Building Department <br /> Date Received � ��/� f�'� 3?�. �y�y <br /> � Phone Contact for Permittin <br /> Owner's Name �'U �'t�}��'� �� {.��,^ c � (�� Owner Phone Number _ i� <br /> Owner's Address �� �c7O� /�( G��� ��` f.SC .�[ Owner Phone Number �— � <br /> Fee Simple Titleholder Name awner Phone Number �— � <br /> � <br /> Fee Simpie Titleholder Address _ � <br /> JOBADDRESS ! vc7a, � � � �'� tifQ � LOT# �� <br /> SUBDIVISION PARGft tD# %�'�j -��, Gk�� " d�'��'�1� <br /> (jiBTAINED FROM PROPERTY TAX NOTICE) ;,� <br /> WORK PROPOSED B NEW CONSTR T_ �SIGN � Q OEMOLISH <br /> INSTALL 8 p,q,� � <br /> PROPOSED USE SFR . <br /> C� Q OMM • OTHER i <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � —' <br /> LL � <br /> DESCRIPTION OF WORK .3�c�1/� 4 � (�s�.J Vs� j�� ��GV�'�'� � �,C_•-,� i <br /> H ��" / <br /> BUILDING SIZE SQ FOOTAGE 7I �Y HEIGHT i <br /> OBUILDING $ �� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �,�ELEv RICAL $ � i1'`f1 AMP SERVICE � pROGRESS ENERGY � W.R.f:� C. <br /> �� v v <br /> �PLUMBING $ ��� ` <br /> � <br /> � � <br /> QMECHANICAL $ VALUATION OF MECHANiCAL INSTALL/�TION � <br /> OGAS 0 ROOFING Q SPECIALTY ( <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO I <br /> � <br /> ! ' t'ti-► <br /> BUILDER i <br /> COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # �� '� <br /> i <br /> ELECTRICIAN � � COMPANY �Iri�f' cS`��If ��%/JcG.� � � <br /> SIGNATURE /l ��— ��Q� <br /> " " REGISTERED N FEE CURRE� � <br /> Address �'1 r/� �../ „/3 �" /�� ` - j � <br /> " •tieef�se.#. . . t+�c]tilc� 5,��--.--' <br /> PLUMBER �� <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address License # ',� <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address � License # � <br /> RESIDENTIAL Attach (�) 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 insta led, <br /> Sanitary Facitities 8 1 dumpster; Site Work 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 construction <br /> Minimum ten (10) working days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w! Silt Fence insta led, <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. I <br /> "*"PROPERTY SURVEY required for all NEW construction. <br /> DirectPons: <br /> Fill out application compietely. ' <br /> Owner 8 Cont�actor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over �7500) <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 if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if o� public roadways..needs ROW <br /> � <br /> I <br />