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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , . Building Department <br /> Date Received �� y � aQ�� Phone Contact for Permittin — <br /> Owner's Name �J fl'��S /-� C (�l ��v Owner Phone Number �� �'7�8 � y 7J <br /> Owner's Address �� �UJ�o�( � �/ Owner Phone Number r <br /> Fee Simple Titleholder Name ��G� ��/� �«= �✓ Owner Phone Number <br /> Fee Simple Titleholder Address 3��a �i �VK � K'( �(/ ��/� /e17/LLS ����..�y l <br /> JOB ADDRESS 7� /V VKo /�j L� y LOT # � <br /> SUBDIVISION �iQ�1� �JviQl ].��(/S' � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �NS �l— (f}" G ��4�'G� �Z (T� � � v� <br /> BUILDING SIZE �D X O� 7 SQ FOOTAGE ' l�p HEIGHT O� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ IOOD VALUATION OF MECHANICAL INSTALLATION <br /> � l � y <br /> / <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> }�UILDER t u �� �j� COMPANY f'�U � DL(//V C� <br /> ( SIGNATURE + ��` ( REGISTERED Y/ FEE CURRE� Y! N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y I 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) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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/ 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 requlred for all NEW construcGon. <br /> Directions: <br /> Fili out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is �equired. (AIC 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 Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />