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813-780-0020 City of Zephyrhills Permit Application -� �� Fax-813-780-0021 <br /> Buiiding Department /� � <br /> ��U <br /> Date R�ceived � '— 4�� �^ � � �7 ! <br /> Phone Contact for Permittin .4 <br /> Owner's Name '��c 1f C ��,� � �-(,�� � �.0 pvyner Phone Number 1 " y��� E1 �a <br /> Owner's Address ���� ��,1'l� f��L (xp Ovvner Phone Number � <br /> Fee Stmple Titleholder Name �� Owner Phone Number � � <br /> Fee 3lmple Titleholder Address �(� � <br /> JOB ADDRESS �� I�lf 1 ��g �! ��� � r , /�—� <br /> w LOT# �--�i�-�_� <br /> SUBDIVISION PARCEL ID# �y—�Cj '� �-' �Q O 6 —• (��j �Q� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER r— <br /> TYPE OF CONSTRUCTION Q BLOCK �' FRAME �� STEEL Q � <br /> DESCRIPTION OF WORK P'JTir,� �,v„�,p�►�s�r Roo�1 W iTI7 EIp T,'�/ Co�r,�r�/i!�'Xf <br /> BUILDING SIZE �•Z Xr � � SQ FOOTAGE �� HEIGHT D � ] <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> .��5 c� <br /> CTRICAL $ � � AMP SERVICE [�] PROG�S ENERGY � W.R.E.C. <br /> OPLUMBING $ , J � � ���i/��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Y/Z��� <br /> /' <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> c' Q ��- <br /> BUILDER � � COMPANY 47l�1 i'�f'!,j d�Q'e jJ�Ql�S „�!G <br /> SIGNATURE r����' ` REGISTERED Y! N FEE CURRE� Y/N <br /> Address � a License# [�� 9a � <br /> 6 <br /> ELECTRICIAN �� f�! COMPANY +P/' �@�T� �V� <br /> /�. <br /> SIGNATURE � -'�` �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �o2�i / �'qr �,+� A�� QdCSSAf �'� License# �•���Qj.4��_ <br /> P�UMBER 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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 ot 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 Sz500,a Notice of Commencement is requlred. (AJC upgrades over ST500) <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 />