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813-780-0020 '-� ,/ <br /> City of Zephyrhills Permit Application ��i Fax-813-780-0021 <br /> Building Department � <br /> Date Received _ J �,,,_' � � ���� i <br /> Phone Contact for Permitting <br /> Owner's Name - - �Z , `� <br /> � Owner Phone Number _� <br /> Owner's Address � /��,c�/��/� � <br /> �'�vWn�r`I�Kbrie Number � <br /> Fee Simple Titleholder Name l-� n" 5 n' 7 r � <br /> Owner Phone Number � � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ,S � � <br /> LOT # ' <br /> SUBDIVISION Z� (' . � PARCELID# �� -- � <br /> l - �D v -�'Jc�.� v �- � S/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) I <br /> WORK PROPOSED W CONSTR ADD/ALT �� SIGN Q � DEMOLISH I <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK I�1... 7 � ,� <br /> � /7 <br /> BUILDING SIZE SQ FOOTAGE � <br /> HEIGHT <br /> �BUILDING $ � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �-�L'CECTRICAL $ AMP SERVICE I <br /> 0 PROGRESS ENERGY O W,R.�.C, <br /> �PLUMBING g <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' <br /> OGAS � ROOFWG Q SPECIALTY C� OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> DYES NO I <br /> - #ttti <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � —� <br /> License # <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE REGISTERED I <br /> Y/ N FEE CURRE� Y/ nJ I <br /> Address <br /> License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N I <br /> i <br /> Address License # <br /> 31GNAT �� COMPANY � 7 S 7 <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �� - K.,� (/ ' nl�} License # � � � � ( ( <br /> 2ESIDENTIAL 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 subdivisions/large projects <br /> :OMMERCIAL Attach (3) complete sets of 8uilding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction� <br /> Minimum ten (10) working days afler submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence insta led, <br /> Sanitary Facilitles 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> i1GN PERMIT Attach (2) sets of Engineered Plans. I <br /> ""'"PROPERTY SURVEY required for all NEW construction. <br /> lirections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized I <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> ' Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> IVER THE COUNTER PERMITTING (Front of Application Only) <br /> ;eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) i <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br /> I <br />