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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> r Building Department <br /> )ate Received phone Contact for Permittin — <br /> rn►ner's Name ��i-/U�� S f7 d�j C'S.� . Owner Phone Number <br /> )wner's Address l / / �� Owner Phone Number <br /> 3�0�- <br /> 'ee Simple Titleholder Na e � Owner Phone Number � <br /> 'ee Simple Titleholder Address <br /> 108 ADDRESS r S-� ll � �� ��` .� G�� %��lC--�, f L— C- LOT # �� <br /> iUBDIVISION ✓�� l [ � , PARCEL ID# � (� � ( O � (� � U �O � <br /> (08TAINED FROIiA PROPERTY TAX NOTICE) <br /> NORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE Q SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �� ����'~��- I��l �,J l�(J �lj/t�/�p/ S �r%/ G�� <br /> BUILDING SIZE SQ FOOTAGE C] HEIGHT <br /> QBUILDING $ Z�O� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # —� <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> i .�` /i _ <br /> DTHER � , � , COMPANY C✓�U � �' ? a t� ���' � <br /> SIGNATURE � `� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address l� � E / J� S �}�� ('l %� �(- � � c <br /> �tcense# I�< �� j�`�-( <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. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pennit for subdivisions/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 construcdon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commerciai requirements must meet compliance <br /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> *"'"PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> '" Age�t (fo� 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 /> �eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />