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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department � ,, <br /> Date Received °e <br /> �� ^ / Phone Contact for Permittin �� � ,� � , <br /> Owner's Name Q a,J (.,c,. Owner Phone Number <br /> Owner's Address 3G L� rti „�. L,�, �„ ,y jZ �s'6i8 <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS ��SS(�, G- �LV,a p„u /j}.J,��s fz 3554 ( � <br /> LOT # �� <br /> SUBDIVISION 2�.`y,� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN <br /> � INSTALL B REPAIR 0 0 DEMOLISH <br /> PROPOSED USE Q SFR 1[� COMM � <br /> OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL O <br /> DESCRIPTION OF WORK T s d <br /> '�1 T i <br /> BUILDING SIZE SQ FOOTAGE <br /> HEIGHT <br /> �BUILDING $ <br /> �Q d�, �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> OPLUMBING $ � <br /> OMECHANICAL $ � ( ��� <br /> VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING � SPECIALTY <br /> [-] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> �YES NO <br /> r <br /> BUILDER � ,�� � �`1 ' COMPANY v14 S � n <br /> SIGNATURE d� REGISTERED � ���NT�iJ74NC,�' LL <br /> Y/ FEE CURRE� Y/ N <br /> Address ��'�Y � C� ,$ y Z�P�./ K'�./, r%Z 3s3�r 2 � <br /> License# C:�$iZvo�.go y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> PLUMBER <br /> 31GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # �— <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RE3IDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit 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 subdivisionsflarge 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 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 constructior� <br /> Directlons: <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicatlon, notarized <br /> If over;2500, a Notice of Commencement Is required. (A/C upgrades over s7500) <br /> *" Agent (for the contractor) or Power of Attomey (for theflwner) 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 (PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />