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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � b i� �— � ( <br /> Phone Contact for Permittin <br /> ���r��i� ��r�_ -- <br /> Owner's Name S� ZEp�/� `DIN�'�ONf (,� Owner Phone Number v��' 9 a�'�� ' <br /> Owner's Address 7 �� �'�AL.� /�� /` Di �� g�yP�^ j Owner Phone Number <br /> Fee Simple Titleholder Name ✓''¢n*� 1�s b�N/vy/� Owner Phone Number <br /> Fee Simple Titleholder Address ` �W N�� <br /> JOB ADDRESS � G � 70 (� U-/lLL �G V � � Ze�Hy�/'�L(,� � `� LOT # � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��P (��o�� R�Ma��t � 1'f�� IN.q �.G ��T�'/w�fylil <br /> BUILDING SIZE �I Q Dv ST SQ FOOTAGE � � HEIGHT <br /> �BUILDING $ �1�/�pU VALUATION OF TOTAL CONSTRUCTION <br /> J� <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ ( � � � f �� (L <br /> r �� T <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� v+ C/ <br /> GL/ <br /> �GAS � ROOFING Q SPECIALTY � OTHER 3 �'� � <br /> F I N I S H E D F L O OR ELEVATIONS FLOOD ZONE AREA YES � <br /> 0 <br /> � BUILDER � i_,��5 O COMPANY <br /> SIGNATURE u REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> � ELECTRICIAN �'n� u� �JC.`�'� COMPANY <br /> SIGNATURE �..X /' REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> Z�ic�.�` <br /> �� PLUMBER ��� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> �"� Address License # <br /> .� MECHANICAL �� V�-f�� COMPANY <br /> SIGNATURE P� ��'��-. 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 /> 111111111111111111111111111111111111 <br /> RESIDENTIAL 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 & 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 /> Minirr�um ten (10) working days after s�bmittal 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 construction. <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) <br /> '" Agent (for the contractor) or Power of Attorney (for the owner) 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 (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />