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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �,_ 2 ;. r phone Contact for Permittin - _�-- �' <br /> �' > I �.�' <br /> Owner's Name �.�"�P�/�P,�! ,�JV � 1 eJSD!J Owner Phone Number �-'D/,> �v �8� ,�--'`� <br /> Owner's Address 7✓�✓ � t'CI Am p�lc Owner Phone Number � �'/� �":s.s� T <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J� 7.3.3 � y-g ,� e L LOT # [�7�'�� <br /> SUBDIVISION u-1C vt PARCEL ID# .37 'o�-S a I "'UDDDI� - D 7 F�e- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED J� NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> �I� INSTALL REPAIR <br /> PROPOSED USE �'� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK --�'1 �'j�e ��tly1� �,,.�,.,,��,,� (J� i r r�,� <br /> BUILDING SI2E 1I SQ FOOTAGE '� HEIGHT <br /> - BUILDING $ C ALUATION OF TOTAL CONSTRUCTION <br /> � � �,,.c��( $°�l - I I <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � / � � � <br /> /�t,al�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r 1 �� <br /> N <br /> OGAS Q ROOFING � SPECIALTY 0 OTHER ��"�� / `/l_ <br /> �J ,/rc'va-1 �`F-�-�— <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO r� <br /> ��� pl�� <br /> BUILDER - ` COMPANY ��1 �ti <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' � <br /> License # <br /> ELECTRICIAN `� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> c <br /> PLUMBER ' COMPANY Y11t�i <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 8� 1 dumps!er; Site Work Perm?t for subdivisio�s/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 constructlon. <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 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 /> Dtrections: <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 (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />