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813-�80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �?j - Phone Contact for Permittin L 5' -- '7 1� <br /> Owner's Name � Owner Phone Number �'1�5����� <br /> Ownars Address G OS' �'i JT • �. �" Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� OO A� I �I V LOT fl � <br /> SUBDIVISION PARCEL ID# �� _� � _ � I _ �I � O• ! ��� � � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 'I L I T I I I � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> �BUILDING $ � 7��_ i�i VALUATIONOFTOTALCONSTRUCTION <br /> .J <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMB�NG $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIAITY Q OTHER <br /> FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ` NV�I S� Ir�clus�r�e5 -� <br /> BUIIDER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN V/ N <br /> Address License # E J � 2�� L Z�i <br /> ELECTRICIAN ���� ROMP RNY� NW S 1� E ��IeS <br /> SIGNATURE <br /> Address GZ�L � 0� O License# ES�Z�OG22 <br /> PLUMBER COMPANY <br /> SIGNATURE REG�S7ERED 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 <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 11111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Pertnit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Ca�strucGon Plans, Stortnwater Plans w! Silt Fence instalied, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets oi Building Plans plus a Lite Safety Page; (1) set of Energy Forms. R-0-W Permit for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwaler 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 /> • 1 1 1 1 1• 1 1 i{ 1 1 1{• 1 i• <br /> Directions: <br /> Fdl out appliwtion completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 32500, a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attorney (for [he owner) would be someone with notarized letter from owner author¢ing same <br /> OVER THE COUNTER PERMITTiNG (Front ot Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />