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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 �� �� — � <br /> ' � � i � � � � � � � �ii <br /> Owner's Name L N� � 1.��� Owner Phone Number � " P� . <br /> Owner's Address � ' `•v Owner Phone Number ,� '���J'� ,�� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �� LOT# [� <br /> SUBDIVISION ��LSc� � � PARCEL ID# � O '� � — �3 ��V OOO��' <br /> WORK PROPOSED B NSTALLS7R B R�EPAIR �SIGN NEO FR�OM PROPERTY T�nce)DEMqLISH <br /> PROPOSED USE � SFR Q COMM � OTHER —� <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK --' �u.Jjl�v._ 5pL'T1C. �li�l�� H�7�I� SySle�"� <br /> BUILDING SIZE Sa FOOTAGE� HEIGHT � <br /> �BUIIDING $ Q��' VALUATION OF TOTAL CONSTRUCTION <br /> 0 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R E.C. <br /> OPLUMBING $ <br /> r � n��y� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �G1' � [� f � <br /> Z � <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � ��OMPANY L�G�'��. � <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address License# �� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y! N fEE CURREA Y/N <br /> Address License# �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �� <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r--� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oI 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 /> Sanilary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new pro�ects.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 8 Contrector sign back of application,notanzed <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurveylFOOtage) <br /> Driveways-Not over Counter rf on pubhc roadways.needs ROW <br />