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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bwlding Department <br /> Date Recelved <br /> Phone ConWCt (or Permittin <br /> - Tm - T�i - -- <br /> Owners Name �E L P �1�(� 1� � T L L L L � Owner Phone Number <br /> Owner'sAddress �CJ�J3U �J�� �E Z /,i� �1 3�5�'Z �--� <br /> Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Slmple TlUeholder Address <br /> JOB ADDRESS ��S .�O 5�� t'S�- (��h l L IS �� LOT # � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK S � �� " <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ • AMP SERVICE Q PROGRESS ENERGY Q W.R,E.C. <br /> QPLUMBING $ <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION � Z�� <br /> � l2.`��l • � <br /> QGAS Q ROOFING �J SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLO00 ZONE AREA QYES NO <br /> BUILDER \ , COMPANY � T�x-� _���EQ' � �K1 SY� <br /> SIGNATURE REGISTERED Y/ FEECURRE� Y!N <br /> Address � �V t � � License # CG G Q �y' <br /> ELECTRICIAN COMPANY �- <br /> SIGNATURE REGISTERED Y/ N FEECURREA 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 CURRE� Y! N <br /> Address License # � <br /> OTHER COMPANY -� <br /> SIGNATURE REGISTERED Y 1 N FEE CURREA Y! N <br /> Address License # �--� <br /> 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permrt for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facililies 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 consVuction. <br /> Minimum ten (10) working days after submitlal date. Required onsite, Construction Plans. Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects. All commercia� requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Ptans. <br /> °"PROPERTY SURVEY requ�red for all NEW consWction. <br /> Directions: • <br /> Fill out applicadon completely <br /> Owner & Contrector sign back of application, notarized <br /> �i over 52500, a Notice of Commencement fs requlred. (A!C upgrades aver 57500) <br /> " Agent (for the contractor) or Power of Attorney (for lhe owner) would be someone with nolanzed letter from owner authonzing same __� \ <br /> OVER THE COUNTER PERMITTING (Front of Application Only) - --- <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurveyJFootage) � <br /> Driveways-NOt over Counter if on pubhc roadways..needs ROW � <br /> � � <br /> V �' � � � <br /> �' G � � , <br /> �� <br /> � � <br /> � <br /> S p c� � . <br /> � � - <br /> � �� <br /> �' �� � <br /> � , �' <br /> � <br />