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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Z- � Z' Phone Contact for Permittin 8�3 �` -- `�SZ`� <br /> Owner's Name /'✓�� G N V-Sa� `7 ��e �-- Owner Phone Number � ^ S5`Z� <br /> Owner's Address �7 3 `f �� �-L ���� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � � 3 � �.q � � I� �V' p � LOT# L� <br /> SUBDIVISION � PARCEL ID# / ��'P+�t " �D�� " C�2-�p d0 -Q ZSa <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � !����t � Ff �-.L 7"y �� �� I'x-<<�� c r ��t�r L �'� !KI G • <br /> BUILDING SIZE —� SQ FOOTAGE C� HEIGHT <br /> OBUILDING $ —� � �, VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ k�/,v��� <br /> T <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> t � � � � � � <br /> BUILDER � COMPANY <br /> SIGNATURE ��'�a REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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# C � <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 Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8�1 dumpster;Site Work Permit for subdivlsionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstruction. <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 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Cotnmencement Is requlred. (A/C upgrades over E7500) , <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) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />