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_ 813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone ContactforPermittin <br /> Owner's Name 1� w1/ � � k./ �(J �~ L Owner Phone Number lJ�� '�/J� � � <br /> Owner's Address �G� {/1' � Ownar Phone Number <br /> Fee Simple Titleholder Name l Owner Phone Number �� <br /> FeeSimpleTitleholderAddress /Y <br /> JOB ADDRESS 5/ S�nimr/ / ' e �' J �• ��-�-� 7 LOT # � <br /> SUBDIVISION �(/'/�/YJP� �/ PARCEL ID# 12 -Z 6- Z/- �/�o -ooc�� -�/�7� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK ��/ s � � <br /> BU�LDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ O' �� VALUATION OF TOTAL CONSTRUCTION <br /> D <br /> Q ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGV Q W R E C <br /> Q PLUMBING $ <br /> �� <br /> o �i�G � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �1 ?M <br /> �.f/' <br /> Q GAS ROOFING Q SPECIALTY Q OTHER '� 1 L� l/� <br /> ! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO <br /> BUILDER COMPANY ,r7 4/�S �"�> � i L� � <br /> SIGNATURE REGISTERE� Y/ N FEE CU T Y/ N <br /> Address License # CCG Q�-�b � / Z <br /> ELECTRICIAN COMPANY �- <br /> S�GNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �--� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y I N <br /> Address License # <br /> MECHANICAL COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y I N <br /> Address License # �-� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �-� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of 8uilding Plans; (1) set of Energy Fortns; R-0-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construdion Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit 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 wnstruction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction 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 applicahon completely <br /> Owner S Contractor sign back of apphcation, notarized <br /> if over 54500, a Notice of Commencement is required. (A/C upgrades over 55000) <br /> " Agent (for 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 /> Reroofs Sewers Service Upgredes A!C Fences (PIoUSurvey/Footage) <br /> DrivewaysNot over Counter rf on public roadways..needs ROW <br />