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813-7II0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .� �� l 1 � <br /> Phone Contact for Permittin �p3 �4'L — "L <br /> Owner's Name tiv p s r R Owner Phone Number $ lA� �� C"�- �� l <br /> Owner's Address 3'��`�$ _Q��,� T�h'`ti �Z '�l� Owner Phone Number � <br /> Fee Simple Tltleholder Name � —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �} � �'�-� �`�S�C� '� � LOT # — Z-. �� <br /> SUBDIVISION �"��('�►�a �1�'�.s� ti PARCEL ID# � ��--LD `L� p �'0�'(�� `Z�, <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1�}'' F�-' �W ��S-��j� �J j '�� S t�- - ��1 �� V.. <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> [�]BUILDING $ 4"'O VALUATION OF TOTAL CONSTRUCTION <br /> 'L'10 O . <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING � ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� v <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � '' � COMPANY � vS��'�Y'' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess 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 CURRE� Y/ N <br /> Address License # � <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 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 & 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 construction. <br /> Minimum ten (10) working days after submittat 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 compUance <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 52500, a Notice of Commencement is required. (A/C upgrades over a7500) <br /> '" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovimer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />