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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received ' Phone Contact for Permlttln � � C( <br /> . <br /> �nrners Name SAm � s P . �++�+�� 1 S Owner Phone Num -� 7 �-- � 8" z' � �- <br /> Tnrner's Address 6 6d'� �, D��LC1�4' p H, }�`L Owner Phone Number -- -��� �� � <br /> °ee Simple Titleholder Name � Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> lOB ADDRESS �D � � � / 1 + � P� � � ��I Y� LOT # � / <br /> iUBDIVISION Z� I j� Y/ � Y s ��� PARCEL ID# � 3 � Z� Z' � a 13 �- O ooalj — a 3 s�'a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED e NEw CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER S o r i4 G <br /> f'YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I � f�� �` <br /> v q / r� <br /> BUILDING SIZE o o � t Z 8Q FOOTAGE /� HEIGHT b <br /> �BUILDING $12 �—� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING � � �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � �� FLOOD ZONE AREA QYES � <br /> BUILDER G :� r �y y �,d � .(���� OMPANY �� O <br /> SIGNATURE r REGISTERED Y/ N FEE CURRE� Y/ N <br /> �� � � <br /> Address �L� 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTtAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction, <br /> Minimum te� (10) woiicing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities & 1 dumpster; Site Work Permit for subdivisionsRarge projects <br /> COMMERCIAL Attach (3) complete sets of Buildfng Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Pem►it 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 /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> "*""PROPERTY SURVEY required for all NEW constructlon. <br /> )irectlons: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 32500, a Notice of Commencement is reqaired. (AIC upgrades over s7500) <br /> '' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized IeKer from owner authorizing same <br /> �VER THE COUNTER PERMITTING (Front of Application Only) <br /> 2eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />