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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0 21 <br /> Bwlding Department <br /> Date Received <br /> Phone Confact for Pertnittin <br /> Owners Name h � 1 �� �..��� Ownar Phone Number <br /> Owners Address �,�. � Owner Phone Number <br /> ��iP12'1 � � <br /> Fee Simple TlUeholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address� <br /> JOBADDRESS �001 �pOO� �pQj �']J/� �r LOT# <br /> SUBDIVISION —� pARCEL ID# � 2 �p Z � �0 �330� 0 0� <br /> (OBTAINED F� PROPERTY T� TICE) DEMOLISH <br /> WORK PROPOSED B NEW CONSiR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL a <br /> DESCRIPTION OF WORK `Eir� � <br /> BUILDING SIZE SQ FOOTAGE 4600 V{R ` HEIGHT � <br /> QBUILDING ` S D � VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E. . <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�' v�� <br /> OGAS Q ROOFING Q SPECIALN � OTHER '/ �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO v <br /> BUILPER' � � . COMPANY � e� �� <br /> SIGNATURE REGISTERED Y/ FEE CURR h Y/ N <br /> Address �--} � ` t f� License # � 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER � COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 111111111111111111111111111111111 1111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Pians; (2) sets of Building Plans; (1) sel of Energy Forms; R•O-W Permit for new construction, <br /> Minimum len (10) working days after submittal dale. Required onsite, ConsWction Plans, Stortnwater Plans w/ Silt Fence install d, <br /> Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisions/large projecls <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set af Energy Forms. R-O-W Permit for new conslruction. <br /> Minimum ten (10) working days aNer submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence install d, <br /> Sanitary Facilities 8� 1 dumpster Site Work Permit for all new projects. All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons: <br /> Fill oul application completely <br /> Owner & Contractor sign back of application, nolarized <br /> If over 52500, 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 nolarized leller from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on publ�c roadways..needs ROW <br />