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°� �' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — Phone Co�tact for Pertnittin � 3 -? 8 a_ L <br /> Owner's Name � G a� Owner Phona Number <br /> pwners nddrass 3�bo��S � l7'C� Owner Phone Number <br /> Fea Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB AODRESS 3ZC.a� l�l �e�.c.l�( o v t- �oT x IS I <br /> SUBDIVISION �[L tibC'l �� PARCEL IDlI 3- a�S 'a �' O — � �� ( � <br /> (OBTA�NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW coNSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK l. '� Sh �th � <br /> BUILDING SIZE �� S� FOOTAGE � HEIGHT <br /> UILDING $� 0 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING �� " �� ' / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION != �� f� <br /> � �� <br /> QGAS Q ROOFING Q SPECIALIY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY y'"N NS �IOK <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Addreas 5�0� 1 r I S��/U License # '7 <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/ N <br /> pddreg$ License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn 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 REGIS7ERE� Y J N FEE CURRE� Y/ N <br /> p��u License # <br /> Illllllllllllllllllllllllllllllllllllllllllllllllllllllilllllllllll <br /> RESIDENTIAL Attach {2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days after submittal date Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence inslalled, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (t) set of Energy Fortns. R-0-W Pertnit for new construdion. <br /> Minimum ten (10) working days after submitlal date. Required onsite, ConsWCtion 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 Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: • <br /> Fill out application completely <br /> Owner 8 ConVactw sign back of application, notarized <br /> If over 52500, a Notice of Commencement ts required. (MC upgradas over 57500) <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 />