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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � J Building Department <br /> )ate Received <br /> Phone Contact for Permtttin <br /> hvner's Name �I (�c? L' � Q, 1�1 � ( J Owner Phone Number €�� `� " ��' � � `� l �- (T <br /> �nrner's Address � � ! � � � G �"�'�� � y �� Owner Phone Number � <br /> =ee Simple Titleholder Name Li1 � Z '�� 33 (� pymer Phone Number <br /> °ee Simple Titleholder Address /Yl O oC� ST <br /> � r <br /> lOB ADDRESS � 7 ��� 4 � i�YVlc. r�' S y" '� 7 j �I Cluw�.�•� o� � s LOT # � �� rL yv(� �oW2 <br /> ��5 <br /> iUBDIVISION t SP � �(�� c "J � � ( t� '�' PARCEL ID# �� ^ 4 "' � ( -- C'• o � - �. O � v ca - �� � � c , c� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED e NEW CONSTR ADD/ALT �� SIGN Q O DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR �'� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q (— <br /> DESCRIPTION OF WORK �� � � � �` �� � ��'-'L C-�' �'�1 S �"'u.�'` �' �'v�n � � S • <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �\ _ AMP SERVICE Q W.R.E.C. <br /> r�,_C_,. `� Q PROGRESS ENERGY <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l 2 �" � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License # L <br /> ELECTRICWN ����f �Q�`� � � � K� �0- � COMPANY � IM� S � �'� F w<- �- S� �J z-� 1 � � <br /> 51GNATURE ���``� <br /> ' REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � ,1� � .3 �� /� �j 7 �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> NECHANICAL COMPANY <br /> iIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— —� <br /> 1THER COMPANY <br /> �IGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # —� <br /> ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minlmum 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 /> OMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit fo� new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities 8� 1 dumpster. Site Work Permit for ali new projects. All commerciai requirements must meet compliance <br /> IGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'*PROPERTY SURVEY required for all NEW construction. <br /> rections: <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 sT500) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> /ER THE COUNTER PERMITTING (Front of Application Only) <br /> �roofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />