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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 Permitting �� �(� -- (��7q <br /> 1 1 1 1 1 1 1 1 1 1 I i 1 <br /> Owner's Name V�L��s Far � O er Phone Number <br /> �jy�� � 33,��t-0 � <br /> Owner's Address �"(7l�� 1� � /'�j�� Owner Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ��3 Q D ��Sf. LOT# � <br /> SUBDIVISION PARCEL ID# I�-2 b '��QD IO' �� -(O��Q I D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � � <br /> DESCRIPTION OF WORK �Q(�(,�I ��n9e Qvt� 4f �C• ��f'Q/� '�� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENE�.{'a'Y � W.R.E.0 <br /> OPLUMBING $ � � f,�f <br /> �� 2f / <br /> �MECHANICAL $p �� /� VALUATION OF MECHANICAL INSTALLA N - <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY �Y� C �/'�/jCPS <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL //� ' � COMPANY W G �PV1 C�S <br /> SIGNATURE �� REGISTERED Y! N FEE CURRE� Y/N <br /> Address �.� 7 � n�►aar ��. IQIr1 �L v�'v License# � G �j(7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> Illlllllllllllllllllllliilltllllllllllllllllllllllllllillllllllllll <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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work 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 Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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 of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&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 Attorney(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 />