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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 /> Owner's Name nGr WY11Y1 Owner Phone Number 9��-�i�O-�ZG / <br /> Owner's Address 0/'/k k r1 [,f I�Q Yt��G C. I✓(T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number�— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f C�t S �i��t J h� � L SS� LOT# � <br /> SUBDIVISION / PARCELID# 3- ZG � � 62Z0 �Ob 40 -O�/b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN 0 MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM � OTHER rtt� <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK T/� IC f/ �n l�P.�'t <br /> BUILDING SIZE SQ FOOTAGE G! HEIGHT �� <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> 0 PLUMBING $ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <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 �,�J COMPANY eT/ d/ .ChC . <br /> SIGNATURE ��-� REGISTERED Y/ FEE CURRENT Y/N <br /> Address �///(� �l/f� %V� � G 3�.5 ,S 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&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 constructlon. <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 app�ication,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over 55000) <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 PER�VIIITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />