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� 913-780-0020 City of Zephyrhills Permit Application <br /> Fax-813-780-0021 <br /> Building Deparlment <br /> Date Received �" � � - � / Phone Contact for Permitting a� yy � -- � � � <br /> � <br /> � - - p o-lv/Is <br /> � ��/�� Owner Phone Number �/ 3 r 7 U <br /> Owner's Name � � C �""" � <br /> Owner's Address <br /> ?.�' 6�i �pZ�{,. OwnerPhone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ���� N�� �l,I, � 33'Sy Z LOT# �� <br /> SUBDIVISfON L�� 14(� PARCEL ID# a� Z �' �' �� -� [ D'�� '��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NSW� ONSTR � A�DDI�ALT � SIGN � MUVE � DEMOLISH <br /> PROPOSED USE � <br /> SFR � COMM �� OTIiER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTI-IER <br /> DESCRIPTION OF WORK <br /> �vl�� �,.. � �.�w� AI-� - �Z �� �C[- -/-f rh 3� l��/� C �t - r 3A�' � 3� ,4v I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> €€��€t�€€�€ - <br /> � BUILDING $ VALUATION OF TOl CONSTRUCTION <br /> � E�ECTRICAL � AMP SERVICE � PROGRESS ENERGY � W R.E.0 <br /> � PLUMBING $ /Q � ��' ( � v " � <br /> V " <br /> � MECHANICAL $ ��� p� VALUATION OF MECHANICAL INSTALLATION �/. <br /> � � !r7 <br /> � GAS � ROOFING � SPECIALTY � OTHER j� <br /> FINISHEU FLOOR ELEVATIONS � FL-OOD ZONE AREA �YES � O <br /> €€ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y J N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRENT Y/ N <br /> Address license # � <br /> �n��.�.-t �-�. s 5. <br /> � �, COMPANY <br /> SIGNATURE � L ��� REGISTERED 1 N FEE CURRENT / N <br /> � Address 3 �/� N f tJ' �` � J�- eK r� 3��6 License # ��� tZ y�y� � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREU Y/ N FEE CURREN� Y/ N <br /> Address License # � <br /> �€€�"�� E�€�•�ma•�=� � - - - - - •- � - - - - - <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) workiny 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 projecls <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 da[e Required onsite, Co�struction 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 /> Directions: <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 $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades AIC Fences (PIoUSurvey/Foolage) <br /> Driveways-Not over Counter if on public roadways .needs ROW <br />