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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name L-G r l 1'�� � ' ?;;:t L�h�:'a �'� 1.,��:1 /1?; � "'7 <br /> Owner Phone Number �1 .� ' � ��'1 � ��-�' <br /> Owner's Address "�, r? �� ,; '°, , �rn. . � � <br /> Owner Phone Number <br /> Fee Simpie Titleholder Name f�y�Y�U -�-j�-,;;, �, � �i,;� pwner Phone Number <br /> � <br /> Fee Simpie Titleholder Address ���� �� t.."G' ,� c h: , r Z.Q�yz� h r'�j �� �,�'�`C r J <br /> JOB ADDRESS �� ��°}'' '�``5 s,,,,',,�.� --� :_, , ;� ' LOT# � <br /> SUBDIVISION �� I'��r �.,.�"�,�.S �, ��_,.� -.� PARCEL ID# ��— �. — 2 �',��.:;f —J�_„�� ,��."�":-�' }t,�''? <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT C� SIGN [� Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL [� <br /> DESCRIPTION OF WORK � Y`C I r1-:�, F y�;+ - ,;,_ ' °''°�� 1 , 4� <br /> � 2 ;.� � <br /> . � <br /> BUILDING SIZE �--� gq FOOTACE� HEIGHT <br /> OBUILDING $ ,,� VALUATION OF TOTAL CONSTRUCTION <br /> J�� <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> .� � z��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] 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# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> PLUMBER COMPANY <br /> 31GNATURE 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 /> � ' n <br /> OTHER -� � ?, COMPANY (J','-?"} -4' i~�V <br /> SIGNATURE � �/fG` REGISTERED Y! N FEE CURRE� Y/N <br /> Address ?� 3� �` '"P " �� <br /> �` � �-`� �� License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;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 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 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 Commencement is required. (A/C upgrades over;7500) <br /> " Agent(for the contractor)or Ppwer 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 pub�ic roadways..needs ROW <br />