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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � DatB Received <br /> � T ��� Phona ConWctfor Permitt�n <br /> Owner's Name � � �...� Owner Phone Number 4 �,3 — y <br /> Owners Address v �-t J ��} L �. p� V� Owner Phone Number <br /> Fee Slmple Titleholder Name /i� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS — I IS � O G A �G-�_Q.—C LOT# � I �� �/ <br /> � � M � S <br /> SUBDIVISION PARCEL ID# 3S �S 2� w.3O �� (� � <br /> � (OBTAINED FR�OM PROPERTY TAX�NOTICE) DEMOLISH <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK E OC� � � L� ��G L� S /'7 � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �� <br /> � BUILDING $3� IOD, � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICA� $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS F�OOD ZONE AREA QYES NO <br /> BUILDER COMPANY ��.l.L vGl �P�� � njj�y� <br /> SIGNATURE REGISTERED Y! FEE CURRE� Y/ N <br /> Address �� � , C� 1 �� License# �� <br /> ELECTR�CIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/ N <br /> Address License # —� <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> 1111111111111111111111111111111111 111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new construclion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Slortnwater Plans w/ Silt Fence mstalled, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Atlach (3) complete sets of Bw�ding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days aker submdtal dale. Required onsile, Construclion Plans, Stortnwater 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 Atlach (2) sets of E�gineered Plans. <br /> ""`PROPERTY SURVEY reqwred for all NEW construction. <br /> Dlrections: <br /> Fill out apphcation completely <br /> Owner & Contractor sign back of applicahon, notarized <br /> Ii over 52500, a Notice o( Commencement Is requlred. (A!C upgndes over 57500) <br /> " Agent (for the coniractor) or Power of Attomey (for the owner) would be someone wnth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Sernce Upgrades A/C Fences (PIOVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />