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813-780-0020 City of Zephyrhills Permit Application Fax-813780.0021 <br /> , Building Department <br /> Date Received phone ConWct for PermiQin ''Z. � 6�,,,3 <br /> T – <br /> Owner's Name 'C � r�Q. n � 1� ( ('f Owner Phone Number & 13 3 J 7�O <br /> Owners Address �'7 � � I f � Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS — i S � h J�' , z. e L LOT # � <br /> SUBDIVISION PARCEL ID# I' 2b � z��WI D��g /W� �6(p�i <br /> (OBTNNED FROM PROVERTY TAX NOTICE) <br /> WORK PROPOSED B NSTALL57R B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �UU� �K fS K $ t�2� � ` �NO <br /> ' tJ <br /> BUILDING SIZE (� SQ FOOTAGE � HEIGHT � <br /> QBUILDING $ OD Qd VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS EN Q W.R.E. . <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTAL TION ����� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY irr�Q.,� � I <br /> SIGNATURE �' REGIS7ERED Y/ N FEE CURREh Y/ N <br /> Address �(� • � 7 6 License ��.( 77 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # <br /> PLUMBER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License t <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER �� �� COMPANY YYCI ' (. <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE Y/ N <br /> Address (O�3 License # t.,�-�. � 3 �� <br /> 11111111111111111111111111111 I11111111111111111111111111111111111 <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 wl Silt Fence installed, <br /> Sanilary Faalities 8 1 dumpster, Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) wmplete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new construdion. <br /> Minimum ten (10) working days after submittal date. Required ansite, ConsWCtion Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlities 8 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 /> ""PROPERIY SURVEY required for all NEW construdion. <br /> Directions. • <br /> Fill out application completely <br /> Owner S Conlrador sign back of application, notarized <br /> If over 52500, a Nofice of Commencement is raquired. (A/C upgrades over 57500� <br /> " Agent (for the conVador) or Power of Attomey (Tor 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 Sev✓ers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />