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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Departrnent <br /> Date Received "' �(� phone Contact for Permittin �v'�i ,�y(� _ �7 L��L <br />-�wner's Name �J��i�� ��T � � Owner Phone Number <br />'9wner's Address ���'�-S �L�l ��� �'��� C��/� �L_ Owner Phone Number � <br /> Fee Simple Titleholder Name �— Owner Phone Number � <br /> Fee Simple Titleholder Addresa <br />-dOB ADDRESS ��� o�,� ���r�I'���% Z�I�� 1�/�i L�S � �-3S y�. LOT# �� <br /> SUBDIVISION �— � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONS7R ADD/ALT [� SIGN Q � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR [� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q C <br /> DESCRIPTION OF WORK C�IV�>SI�T�I� G�� ,�(CU�J /C D�' �Y�sTldL�j �Gr7� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ •� ���" � � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ���� �v AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �l ���93 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> U �j <br /> BUILDER � � �f�1'L+ COMPANY �✓��/� '' <br /> SIGNATURE �r� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l� License# �— <br /> 2�tl�n � <br /> LECTRICIAN r , �/� c�COMPANY <br /> SIGNA URE v� " " ' REGISTERED Y/ N FEE CURRE� Y/N <br /> ;t�C��. <br /> �Address �7b 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# C <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster;Site Wark 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 Permik for new consUucUon. <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Site Worlc Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required far all NEW construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is required. (A!C upgrades over 57500) <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(Plot/Survey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />