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813-780-0020 City of Zephyrhills Permit Appiication � f� � Fax-813-780-0021 <br /> Building Department � �'� <br /> Date Received /� � <br /> � � � � ' � Phone Contact for Permittin — <br /> Owner's Name � ` Owner Phone Number 3— f 3—G/ <br /> Owner's Address �i'JU �G Owner Phone Number <br /> Fee Simple Titlehoider Name �-,c..e� ;�',.,, ,tj, :.feL ..J/�. Owner Phone Number <br /> Fee Simple Titleholder Address ���� � � ,�, j �'� <br /> JOB ADDRESS � LOT # C� <br /> SUBDIVISION . PARCEL ID# d _p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME �� STEEL Q <br /> DESCRIPTION OF WORK , _ � , � `, � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �D aoo , <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ /; ��S �� <br /> v <br /> �../ �� S-1 7— (1 k�i Jyc v <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � N�� ✓ <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �� � <br /> BUILDER � COMPANY ��f C � <br /> SIGNATURE REGISTERED / N FEE CURRE� N <br /> Address ..�.� D j License # �ly L� /� <br /> S GNATURE N / ���� COMPANY � �v�� (�- / �7 �= �� � �� ( C � <br /> REGISTERED Y/ N FEE CURRE� Y I N <br /> Address fU �1�� � /� � �ffl��: L ( � � ' <br /> License # <br /> PLUMBER �/ COMPANY �,q o „� �,Q��. � <br /> SIGNATURE REGISTERED N FEE CURRE� / N • <br /> Address Ucense # / <br /> MECHANICAL COMPANY ,SS s� � �p, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # SC 6 <br /> OTHER COMPANY <br /> SIGNATURE 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 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 subdivisfons/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. Required onsite, Construction Plans, Stortnwater 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 8 Contractor sign back of application, notarized <br /> if over $2500, a Notice of Commencement 1s required. (A/C upgrades over �7500) <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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc�{��i�r�� �o age�' <br /> Driveways-Not over Counter if on public roadways..needs �� ��� �� �� <br /> , t t �rA �t; ,� � <br /> 3ftfx� 00 � �pl� <br /> .Mil� N �NIIN INMw <br />