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813-780-0020 City of Zephyrhills Permit Application �, O ,�� � Fax-813-780-0021 <br /> Building Department <br /> Date Received � � ''� <br /> �� Phone Contact for Permitting -- <br /> i ,,L � ,+ t1 <br /> Owner's Name rl� Ll- �r rT�!" � �I Owner Phone Number � '1 a.�`t � <br /> 35��' <br /> Owner's Address �IQ � ���"L 3 -.� W.�'� •F�- Owner Phone Number <br /> Fee Simple Titleholder Name `i3��{51" �Q►1�i it J `' v+C��� Owner Phone Number � <br /> F�,�l«yin���s�ks + � ` <br /> Fee Simple Titleholder Address ���� h(Q��� �Vd �4 t ZZ-�✓b <br /> �JOB ADDRESS �`l Z. � �rQ(��' �k".S � �f�� LOT# � <br /> SUBDIVISION PARCEL ID# S -�S�o��'�O��°�{ t�� •� !� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C_1�0�C\n ��� S}`J� `��,JG�t �0.TQ� {' n u. 5��+�e �;Qrk <br /> BUILDING StZE " S+UC' SQ FOOTAGE HEIGHT �IL�` � <br /> OBUILDING $ i �C �� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS ��`,.Z FLOOD ZONE AREA DYES ��NO <br /> BUILDER COMPANY 1 S.� �,�1�c, <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address J�24 A � 03 License# �04�j L�� <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 /> RESIDENTIAL Attach(2)Plot Plans;(2)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 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-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&1 dump�ter.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*""PRO�'ERTY�SURVEY rei}uired for all NEW construction. <br /> Oirections: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />