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813-780-0020 City of Zephyrhills Permit Application G- �( Fax-813-780-0021 <br /> Building Department <br /> Date Received ,� � �„ / / i <br /> Phone Contact for Permitting �' __ � <br /> owner's Name °�'� l C L'^' �= A-� v ���-- �/ 7 �� / U j <br /> Owner Phone Number , b � <br /> � � <br /> Owner's Address � TH � ' �. ) Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �— �� <br /> i <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � r�i /q � z^ � J c LOT # I <br /> SUBDIVISION Z��/-Fy i'( ' PARCEL ID# _I Z 2� � 1 r DJs �C�'— n 3� C�1.7 ° C���J ,� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) i <br /> WORK PROPOSED �EW CONSTR B ADD/ALT C] SIGN Q � DEMOLISH � <br /> INSTALL REPAIR � <br /> PROPOSED USE � SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK /G .� 7� ( � _� S �G lJ ��J T7 ,5 Y <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT �� '(` <br /> �BUILDING $ � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �/ ;� .� AMP SERVICE � PROGRESS ENERGY Q W.R, .C, <br /> to�, vvL�nc� � <br /> �PIUMBiNG $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTA ���� � <br /> LLATION � <br /> OGAS Q ROOFING � SPECIALTY �� OTHER ; <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO I <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # J � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N I <br /> Address Llcense # � <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 � "r <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/ N <br /> .� k! <br /> � � L "'" d � � t � � License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buflding 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 /> Sanita.ry F�ci{it'sas 3� 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Aktach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructioni <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence insta�leci, <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 construcdon. <br /> I <br /> i�rri i i r� � �� r � � r� i � � �� i��� <br /> + �a-L.LL� alL.► ��Li1 I 1 � <br /> Directions. , <br /> Fill out application completely. ' <br /> Owner & Contractor sign back of application, notarized i <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over �7500) I <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) I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) I <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br /> I <br />