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813-�80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' � � (� Phone Contact for Pertnittin �� / C) � — ��� <br /> OwneY's Name N '/'���J �� Owner Phone Number � �Y�� s.37 � <br /> Owners Address �7 � I�+ C'A/11 �/ Q Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADORESS H LOT A � <br /> SUBDIVISION /nA �n �A PARCELIDM o7 '��0 Q " � Q <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED B NEW consrR 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 /> DESCRIPTIONOFWORK 1�1� vN C: N��. / �`IVL�I�'LT�.. <br /> BUILDING SIZE SQ FOOTAGE 595:8 HEIGHT <br /> UILDING $/� QQ VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $/�C Q AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> (� J <br /> QPLUMBING $ � I � � �G <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> rt.. <br /> SIGNATURE ����""`�' — �\,V ` ROMPANY� �N4OI�S/ EE IZLLL�E�J`-/Y/ N <br /> Address yuas /no�r�s �r�� " License # �S�p � <br /> ELECTRICIAN ' � �COMPANY / /( C <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address �� Z' License# �i B 7 � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURREA Y/ N <br /> Addrass License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Address License # <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License i1 <br /> I111111111111111111111111111111111111111111111111111111111111111111 <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, ConsWction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Wak Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fwms. R-0-W Pertnit for new constniclion. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Sift Fence installed, <br /> Sanitary FacilRies 8 1 dumpster Site Work Pertnit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required fa all NEW construction. <br /> Dlreetions: • <br /> Fill out applicaGon completely <br /> Owner 8 Contractor sign back of applicaGon, notarized <br /> H over 52500, a Notice W Commencemant fs required. (MC upgndes 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 />