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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �3��2 Phone Contact for Permittin � 3 �� -- W Z 2X 3s6 <br /> Owner's Name C l T''( OF ZEe��{2� l(�.S Owner Phone Number � �?�?8�, �D 22 <br /> Owne�'s Address S 3 3 S CJ t'K ����7 Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � � <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS 3� �Z� S DU C N ���- ZEPE'F�RH�L�-S ��- 3 SY� LOT# � <br /> SUBDIVISION PARCEL ID# ����C7 �OV ^�� ��YqOG�' UDG� � <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �j o�(� <br /> TYPE OF CON3TRUCTION Q BLOCK FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK KOO F O�EIe ��Q KS M�IIN�� ��-�• <br /> BUILDING SIZE �� , x ��� � SQ FOOTAGE �6�O HEIGHT `� ] <br /> QBUILDING $ � O�Q � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE 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# C <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 �GV/vEIC L"/ �� ��/����LC� <br /> SIGNATURE GISTERED Y/ N FEE CURRE� Y/N <br /> Address 3 0�'CL� � . �p Y�����5 3.3 S�Z 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 FaGlities&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 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notari2ed 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 />