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. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received � �� Phone Contact for Permittln <br /> Owner's Name Y�/1 ��� � i Y I Owner Phone Number <br /> Owner's Address �� � �� /� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �U "IU I I Z� / 1 V'��� U e -e 1 1 � ( �S LOT # 0 d I O <br /> SUBDIVISION PARCEL ID# � � - 2 � - � � � � � � � �� � �b � ( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � _/-C�TY�,� t� � �� �i�af/Nu� � �I <br /> BUILDING SIZE SQ FOOTAGE G G HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> �,. <br /> � PLUMBING $ � / /)1 _ �� <br /> o<<e <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI <br /> Q GAS � ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO <br /> BUILDER � � COMPANY � V" S�� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buflding Plans; (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 wl Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) sets of Building Plans; (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 8 1 dumpster. Site Wo►ic 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 /> Dlrections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 32500, a Notice of Commencement is required. (A/C upgrades over s5000) <br /> " Agent (for the �or�ractor� or Power of Attorr�ey�(for the ownerJ would be someone with notari�e�tt�r frAm owner authorizing same <br /> OVER THE COUN�R PERiNITTING (Front of Application O y ly) <br /> Reroofs Sewers Service Upgrades A� Fences (PIoUSurvey/F�t�g�) <br /> � <br /> Driveways-No over �aunter�if on public roadways: �eds �W `` � <br /> > -. •: ., , <br /> : :� , <br /> �I,» .,rr •. �w ` �w�"'�+�"" �,"'w�►""+o'�, +r.-� <br />