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813-780-002� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � ' Buiiding Department <br /> Date Received �— Phone Contact for Permittin -- <br /> Owner's Name e( � f'l0717'Ip�f �f �Owner Phone Nua�ber <br /> Owner's Address 3 Tb �� .5 {?jJL � �7 � VV Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address sj <br /> JOB ADDRESS �� �A(�/ � ` LOT # � <br /> SUBDIVI310N PARCEL ID# ����� �I 'OQ �Q� OJ �OD � O� „� Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK fr 6/qr C� .e -QGl7 O� �. .J �/'j � S T <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT —� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $��QO On VALUATtON OF MECHANICAL INSTALLATION <br /> (J' <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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 �W C ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 5�'S3 �U! WR �rs bG TQ111't License # G�C �f�'.16�� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; {2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <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 subdivisionsAarge 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 construction. <br /> Minimum ten (10) working day's after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitfes 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 /> "«'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 s2500, a Notice of Commencement is required. (A/C upgrades over 57500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />