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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received –�' ��� phone Contact for Permittin / /D – <br /> Owner's Name ��,1���r E'��s�^� � ��'�'P�,,` Owner Phone Number .f�3'�Y"� �1 V <br /> Owne�'s Address /1,��1 ��R�L,o/t_,E ��Q, ��'�'�•�a� O�h Owner Phone Number ��'��87� `b'�'f <br /> Fee Simple Titleholder Name r Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7J� � /ti � G v� ,�,/�S t - 3��y� LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /NJ�Q�� K'e�. �!��0�•^C-�C L-- W�L-L- SI rr✓ O''' �R Gt b`��� <br /> BUILDING SIZE L`� � SQ FOOTAGE� HEIGHT i8� <br /> OBUILDING $ , VALUATION OF TOTAL CONSTRUCTION <br /> 23��� � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ " <br /> ��� ���� �� , <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION w �/°�( � <br /> � ( 1�'tP <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER � � COMPANY C �"�-0 �O 2-� 7 �1�•M l�p J � f�✓ .�y�/L , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 6 I /U� mfl vV K� 770'%�'��� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER 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 Llcense# <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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work PeRnit 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.5ite 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 /> ,��n�,����r����� �� <br /> u�+ 1 1 1 i L1LL111I r <br /> Oirections. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over;7500) <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 shingfes Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />