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813-780-0020 City of Zephyrhills Permit Application Z� Fax-813-780-0021 <br /> Buiiding Department � <br /> i <br /> Date Received [ � ! <br /> � a /� Z Phone Contact for Permittin �� ��� �� � <br /> Owner's Name �� i3�C�t� �c-���`- Owner Phone Number �� <br /> Owner's Address i- � .�� l ,f !�.4✓i1'G�� � F/�� � Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS �� �° • • � �j � �t � �� F� �..�`'� LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT 0 SIGN [� Q DEMOLISH <br /> INSTALL REPAIR I <br /> PROPOSED USE � SFR Q COMM C� OTHER ; <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK .-{�6'1�/¢`� L�� �,I���/� ��G:sJ'�f y���/��.s� l � �� <br /> f ��"✓ � <br /> BUILDING SI2E SQ FOOTAGE�� HEIGHT i _� I <br /> J _�� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION I <br /> DELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY [� W,R.F_.0 <br /> OPLUMBING $ i <br /> I <br /> �MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> OGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES N• I <br /> I <br /> „s�`"� •�' / �i �� <br /> SIG�NATURE � � � COMPANY � k%t ��.�� � I <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 7 �/- 1n� �� �(,��; License #�- J <br /> ELECTRICIAN COMPANY ! <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address L(cense # � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N ! <br /> Address � <br /> License # �- I� <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address I License # �- ; � <br /> fi-hi <br /> RESIDENTIAL Attach (2) Plot Pians; (2) sets oF Buiiding 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 in� iled, <br /> Sanitary Facifities 8� 1 dumpster; Site Worlc Permit fo; subdivisiors/large projects i <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 constructi� <br /> Minimum ten (10) working days aker submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sill Fence ins ;led, <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 Pians. � <br /> ""*PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> �� <br /> Fill out appllcation completely. <br /> Owner 8 Contractor sign back of application, notarized � <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over �7500) <br /> "" 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) i <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br /> I <br />