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813-780-0020 � � � I � � <br /> City of Zephyrhills Permit Application Fax-813-780-0021 � 7 <br /> Building Department J <br /> Date Received i?j' Phone Contact for Permittin V� 5' ' � <br /> TTfTf -- <br /> Owner's Name Z Owner Phone Number — `�5 —� <br /> Ownsr's Address � wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O�.+LJ C� L V LOT # � <br /> SUBDIVISION PARCEL IDN J� Z 5 Z I� 0( 30 � Q ��Q � �,�V <br /> (OBTAINED FROM PROPER7V 7A% NO710E) <br /> WORK PROPOSEO e NEW CONS7R B ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OP WORK 2 � <br /> BUILDING SIZE �� S� FOOTAGE � HEIGHT � <br /> �BUILDING $ � E +. VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ,� ��� AMP SERVICE Q PROGRESS ENERGY � W.R.E C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING a SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER `" „(� � COMPANY 1 � ► <br /> SIGNATURE � �a r � REGISTERED Y/ N FEE CURREN Y/ N <br /> Address Z License # ES Q <br /> ELECTRICIAN C� COMPANY � <br /> SIGNATURE � O � � REGISTEREO Y/ N ' FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREA Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y J N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License # <br /> 111111111111111111111111 1111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-0-W Pertnit 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 & t 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 Fortns. R-0-W Pertnit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Siit Fence installed, <br /> Sanrtary Facdities 8 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 L 1 1 1 1 1' <br /> D�rections: • <br /> Fdl out applicahon completely <br /> Owner & Contraaor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent Ifor the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTiNG (Front of Application Only) <br /> Reroofs rf shingles Sewers Service Upgrades A/C Fences (PIOUSurvey/Footage) <br /> Drivaways-Not over Counter if on public roadways..needs ROW <br />