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'.i13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received � l �Z Phone Contact for Permittin 8�3 78 Z -. ✓�6� � <br /> Owner's Name ✓�.T � � � T�v ���L L�y�r+-t Owner Phone Number / Q Z � Z 8 � � <br /> Owners Address �� �6 �� T� .s� Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number �- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� c�- LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK �F'��VL Z � G � tSl-<�� /�v �- fs'4L r �T <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/ � �%/� <br /> � ((J <br /> OMECHANICAL $ � c�' VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL ✓j /f COMPANY Bq ff� S af'y! G�i�-� L�1 � -t/�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y N <br /> Address y y � .Q�� License# C�G D y���/�� <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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,ConstrucGon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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 Facilitles 8�1 dumpster.Site Work Permit for ali new projects.All commerciaf requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """"PROPERTY SURVEY required for all NEW consUuctlon. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> "` Agent(for the contractor)or Power of Attomey(for the ovmer)wouli!'be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) ° �� w�. . <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />