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513-780-0020 City of Zephyrhills Permit Application �//� Fax-813-780-0021 <br /> Building Department <br /> DateReceived ,�j �g—(�� phoneContactforPermkti �� Q �(/(y <br /> Owner'a Name p'1 Gt Y Owner Phone Number <br /> Ownefs Address 3 �{ S Owner Phone Number�— <br /> Fee Simple Titleholder Name Owner Phone Number�— <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS 3?4 8 I I LOT# �1 <br /> 1�SLJ <br /> SUBDIVISION �.71'� � r (� PARCEL ID# 3 T•a�}�. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK 5(7 <br /> BUILDING SIZE � A 0 S�FOOTAGE HEIGHT <br /> BUILDING $33 VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ <br /> MECHANICAL ,, Ih�,� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION /�( /y <br /> �v <br /> Q GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO <br /> 'V <br /> BUILDER l <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address y0 ',S c3�'y� License# 7 7 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address �� <br /> 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 <br /> I— License# <br /> OTHER I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address <br /> License# <br /> Pi�llt <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 submittai dale. Required onsite,Construclion Plans,Stormwater Plans w!Sill Fence installed, <br /> Sanitary FaciliGes 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projeds.All commercial requirements must meet compliance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> YYtll <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over t5000) <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 oi Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />