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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 ConWct for Permitting ( c 'j �� _ 3/ S� <br /> Owners Name C� � �fp �p� � ` � <br /> Owner Phone Number �7 - �, 7 <br /> Owners Address F � 3�r 6b'S �� <br /> � l �' � r• P�`� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple TiUeholder Address � <br /> JOB ADDRESS �,7 CJ I O w"., 11, t(� U,� �V,� LOT # [� <br /> SUBDIVISION PARCEL ID1� 3�-as -� �_ e�, p_ p �JCj ��� � O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEwCONSTa ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE � SFR Q� COMM � OTHER —� <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � �� <br /> DESCRIPTION OF WORK T I O �C' S��-w�.. ��� �: �� y � N (�� �rt5t'4 . 3� <br /> BUILDING S12E SQ FOOTAGE 3� u� <br /> HEIGHT � <br /> B ILDING <br /> $ � �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ � '�, ' <br /> 1 ��� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y!N <br /> Address � License # � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> OTHER � �' COMPANY Q.r�µ� �d�� ��„��� I <br /> SIGNATURE REGISTERED 1 Y/ N FEE CURRE� y/�.J <br /> Address � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (t) set of Energy Fortns; R-O-W Permit for new consWction, <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsUuction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Pians plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construdion. <br /> Minimum ten (10) working days after submittai date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Pertnit for all new projects. All commercial requirements must meet comptiance <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 57500) <br /> " Agent (POr the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authonzing 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'rf on public roadways..needs ROW <br />