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' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /� -� q <br /> – U � ' Phone Contact for Permittln – i� <br /> Owner's Name 2. U�� �jQ! Owner Phone Number '� •� t0 L <br /> Owner's Address � � • (��+ � �Owner Phone Number � —� <br /> � 33SL.� � —� <br /> Fee Slmple Titieholder Name Owner hone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS �+� L 1(� � S� - r�.. � LOT # � <br /> SUBDIVISION �- : 1C , � � . PARCEL ID# , � a�o ` �- • �oZ� ��UC�V (�S ��v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR � '[j� <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� � �' �Q �c � U �, � f=- �� r ' -e <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT � <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> �V. � <br /> DELECTRICAL $ AMP SERVICE Q PROG S ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � <br /> /�'`� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INST TIO� �� <br /> QGAS � ROOFING [� SPECIALTY � OTHER <br /> C��� <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY C (' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/ N <br /> Address Llcense # —� <br /> OTHER COMPANY �a� n <br /> SIGNATURE REGISTERED Y/ N FEE CURR Y/ N <br /> Address � � Z � 3�J )� � Ucense # �j� � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcGon, <br /> Minimum ten (10) woricing days after submittal date. Requfred onsite, Construcdon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 1 dumpster; Site Work Pe�mit 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 construcGon. <br /> Minimum ten (10) warking days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 1 dumpster. Site Work Perm(t for all new projects. All commerGal requirements must meet wmpliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY required for all NEW construcdon. <br /> m��������r��������.. � <br /> lilililiiill II <br /> Di�ectlons. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commenceme�t is required. (A!C upgrades over 57500) <br /> '* Agent (for the contractor) or Power of Attomey (for the owner) would be someone wlth nofarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if o� public roadways..needs ROW <br />