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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> K w V <br /> Date Received ,/ �7� /�'fjQ��O /� phone Contact for P mittin 8/3 �� — l� � �' <br /> Owner's Name v � �� � r Owner Phone Number O� —��� ' lQ3 C'J� <br /> Owner's Address �'� c� Z� z �g � S�T Owner Phone Number <br /> Fee Simple Titleholder Mali�e T � � Owner Phone Number <br /> Fee Simple Titleholder_Addtas� --- ---------'—"---- ----- ' <br /> JOB ADDRESS �OZ � Z l8'�+ ��E�T LOT # � <br /> SUBDIVISION PARCEL ID# �� `- �lo ��I"' Ul e !v DUOO�� 0'��U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK RAME � STEEL Q <br /> DESCRIPTION OF WORK � /NS77P�L� /�ja�N/N(, �,✓ �s►-c K 5���� � ,.� �' .�c l / <br /> BUILDING SIZE � SQ FOOTAGE � HEIGHT <br /> BUILDING $ �^��� <br /> 7 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �q�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY 0�/�— <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address ' License # <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� 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 CURRE� Y/ N <br /> Address License # <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) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 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. Required onsite, Construction Plans, Stormwater Plans w/ 5ilt 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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A!C upgrades over E7500) <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 Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />