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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Recelved �f v Phone ContaM for Permittin " <br /> Owner's Name Gt/ � �/ `�� Owner Phone Number <br /> Owner's Address O�� /�/ ( Owner Phone Nu r �s' �/8� �� <br /> Fee Simple Titieholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> �/�I �P f T .Z�s iP lLl� G LOT# J�G <br /> SUBDIVISION T/��`:f�crS� m � PARCEL ID# ��3 .Z � O C7duo0 �s av <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL AIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME- STEEL <br /> DESCRIPTION OF WORK I t� L G� �� � ���v � ��� '�'�' � �/""� � <br /> � / !/ar �.Re�-t�1C.��r`' <br /> BUILDING SIZE �� /'Y yd �J SD FOOTAGE U HEIGHT � l� �Z cf7✓� <br /> QBUILDING $�gQ� �a VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ j�jZ/�,(/ <br /> �l ( TJ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> FINISH�ED FLOOR ELEVATION� ROOFING � FLOO Z NE� OTHE�YES NO <br /> BUILDER � <br /> ` �COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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 Ucense# <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 E�ergy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)wo�king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster;Site Wortc Permit for subdivisionsllarge 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 construcUon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalitles&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """"PROPERTY SURVEY required for all NEW construcUon. <br /> , �� <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appNcation,notarized <br /> If over 52500,a Notice of Commencement is requfred. (A1C 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 Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />