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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � " <br /> )ate Received Phone Contact for Permittin — <br /> hvners Name I'��LS� � �t ,.5�� �'�+ 2 Owner Phone Number � ` � <br /> Tnrner's Address � GS 4�.f li t�i.�°C'��✓ Owner Phone Number <br /> 'ee Simpie Titleholder Name � Owner Phone Number <br /> =ee Simple Titleholder Address <br /> !OB ADDRESS �GJ �� C�-a-'JS''e � WC� � C( D i( Z ✓ I� ` I� S �_ I LOT # � <br /> SUBDIVISION t�� ��-S PARCEL ID# v�� Z lO� Z� - O( ZO— �%�'��C7U — CL 7 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> NPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK f�- G/�O[� � w �� � 7 �`�""' 6 t 'V 1 ��{ <br /> BUILDING SiZE SQ FOOTAGE �= f � HEIGHT <br /> QBUILDING $ ���� VALUATION OF TOTAL CONSTRUCTION <br /> �� � <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���� <br /> OGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED 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 � ��"'u� /�� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y <br /> Address �dl�a(, �� �� h License # �� �-r 7 �v / � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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 subdivisionsAarge 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 /> 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 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 /> Directlons: <br /> Fill out application comptetely. <br /> Owner & Contractor sign back of application, notarized <br /> If over:2500, a Notice of Commencement ls required. (AlC upgrades over 57500) <br /> kk Agent (for the contractor) or Power of Attomey (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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />