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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ° ' ' Building Department <br /> Date Recgrved ' � l3 � �$ � — QG <br /> Phone Contact for Pertnilting <br /> ������� 1 1 1 1 1 1 <br /> Owner's Name C' / �,� Owner Phone Number pJ3 ' ��3� <br /> Owners Address �/! ���{/J) g- Owner Phone Number � <br /> Fw Simple Titleholder Name ��' a �� "� 1 <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �L LOT N � <br /> SUBDIVISION I�?/���sn�_ D�K � PARCEL IDN ;� -� - _ � Q <br /> (OBTAINED FROM PRpPERiV TA7( NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ✓�NG�) //V`LC�� /N L'�'N(./C�f'% � <br /> BUILDING S¢E Ja��%' � SQ FOOTAGE � <br /> HEIGHT C <br /> BUILDING 3„{'�/ /�f` VALUATION OF TOTAL CONSTRUCTION <br /> l U' o� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � QMECHANICAL $ VALUATION OF MECHANICAL �NSTALLATION ,�� � <br /> ��S Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER /�-�"'`-� ♦ COMPANY rT/�WS�ZIC(��"� <br /> SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��S���O/i't ('iGI � /G /� License # (' � c� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Addres5 <br /> License # <br /> MECH/WICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address license # � <br /> 1111111111111111111111111111111111111111 <br /> RESIDENTIAL. Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instelled, <br /> Sanitary Faalities & 1 dumpster; Site Wark Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete seis of Buikiing Plans plus a Life Satety Page; (1) set of Energy Forms. R-0.W Permit for new construction. <br /> Minimum ten (10) working days afler submittal dale. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence insfalled, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects All commercial requirements must meet compliance <br /> SIGN PERMIT Atlach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NE W construction. <br /> Direetiona: <br /> Fiil out application completely <br /> Owner 8 Contrector sign back oi appliption, notarized <br /> If over i2500, a Notice of Commencement is required. (A/C upgndes over 57500) <br /> " Agent (for the contrector) or Power of Attomey (for the owner) would be someane with notarized letter trom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs 'rf shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways .needs ROW <br />