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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ,�--"'�' <br /> ----�--- <br /> Date Received � <br /> ��� Phone Contact for Permittin 8!3 6 z q_ y6 <br /> Owner's Name �7'c7l^ K / �G1Y' � ` Owner Phone Num�ber � � / <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�� ,� '( `6 '%`" �S� , Z � �i /�,` �J.1 LOT # � <br /> SUBDIVISION PARCEL ID# rI �� 6- •- F 7 � D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � 9 S�^1 � 1 `— � J D G' � U�- (� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> �BUILDING $ 1 �j�c�LUATION OF TOTAL CONSTRUCTION <br /> 00-�� � <br /> �ELECTRICAL $� O` � ���P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �� � � � ` � / 2O I ! <br /> l <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _' "[/ COMPANY L'r ' �'�/II «'� -t"Z � <br /> SIGNATURE REGISTERED / N FEE CURRE� / N <br /> Address � � d �v M (� , 2Q � �11{ S _ 33 S ( License # � �� � � <br /> .�. P c1 <br /> S GNAT R1EN ti� ����ICQ� COMPANY ��U� I�`�� �/ rr 1�'e � <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �� vl e l- (�' ,3 � License # � � f �� 1 � � 0 b � <br /> PLUMBER � COMPANY � ct � �� � �u- � � SE'�I'l�l C � -r�.0 � <br /> SIGNATURE «�'� � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address I..Ji(✓y1A , � � ,�S License# C �C � �p � <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) wo�lcing 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 wJ 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 requlred for all NEW construction. <br /> Di�ections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over 37500) <br /> *' Agent (for the contractor) or Power of Rttomey (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 />