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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 57 7� �-���vv T �p�z.� C�,� L Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S� S�� 3�' S�. LOT# � <br /> SUBDIVISION PARCEL ID# I�`�6 '�� -�O�O - O1�.v 0 - Q� O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE � SFR � COMM Q OTHER CiJ��+ �.� e <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK y`^5��� JVQ� ��A �Jt��reo.en Sc�J�c1 Met�/.,Q 5 r�,,., Sq't"2 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> Q' ELECTRICAL $ ' �S� J J AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C, <br /> 0 PLUMBING $ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN (1 �'n COMPANY ���ji l.; ��Lc.�✓.�.�,� �v�G• <br /> SIGNATURE ���� V�- REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � �c>x gb Z �-�t, ` 3�53 5 �icense# �C 3a0 I 3 S 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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 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 32500,a Notice of Commencement is required. (A/C upgrades over�5000) <br /> ** Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />