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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , ' Building Department <br /> )ate Received ��/� — r/ Phone Contact for Permittin c�/ 3 g.3 _ 7 �a � <br /> hmer's Name �/j�/, p��`d Owner Phone Number �" 7/,s l�/S� <br /> �nrner's Address ya 7 �C �� /¢v ti° Y ` S 3 3��'� <br /> Owner Phone Number <br /> °ee Simple Titleholder Name '�.� Owner Phone Number �— <br /> =ee Simple Titleholder Address <br /> � ` �� <br /> 106 ADDRESS S ya 7 � �v -e <br /> LOT # <br /> 3UBDIVISION PARCEL ID# � �ZIP — Z� ^ U � l � D 3 3o a � ��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �IYORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK p � !/t �ji �c� `t! , � /�t 7�c � //? <br /> BUILDING SIZE —� SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ � �-' VALUATION OF TOTAL CONSTRUCTION <br /> � �Q <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ��/.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�,�„ � <br /> i <br /> l��` <br /> QGAS ROOFING Q SPECIALTY � OTHER � l 2� � 3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> v <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 'LUMBER � COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # —� <br /> AECHANICAL COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 1THER -� S � COMPANY �/Q/�LL� C�i�OLr�L� .�C�D�/�Ej /.�C <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �D • . � � � 3 3,5�lv2 License # CC C �J � �'J ,3 7v <br /> ESIDENTIAL 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) woricing days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities 8 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 Fonns. R-O-W Permit for new construcUon. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrmcUon Plans,`Stormwater PFans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 1 durripster. Site Woric Permit for ali new projects. All commercial requirements must meet Compliance <br /> IGN PERMIT Attach (2) sets of Engineered Plans. <br /> '*"'PROPERTY SURVEY required for all NEW consVuction. <br /> irections: <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 =7500) <br /> Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> �ER THE COUNTER PERMITTING (Front of Application Only) <br /> �roofs if shingles Sewers Service UpgrBdes A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />