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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 Permittin <br /> Owner's Name J�1` �/'�Ci Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �0 � �G1.- �L U� LOT# �� <br /> SUBDIVISION �— PARCEL ID# �p ,c.1 �Q a OO D�i� �� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROP03ED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Kb �DOf� /�J/Q NsA�p �N� 1,✓(jr/T D/I'J/NS�4��'L S�7%`�'`�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ �� '� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING �� <br /> QMECHANfCAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � 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 /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —1 <br /> OTHER �� COMPANY C/4v/r% /E0�-�"/^�G� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � � /� License# �i�a�G��f � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)wo�icing days after submittal date. Requfred onsits,Construction Plans,Stonnwater Plans w!Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consttucUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> "*""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notic�b�i Commewsement is requi�ed. (A/C upgrades over E7500) <br /> `" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) � 4 <br /> Reroofs if shingles Sewers Service Upgrades A/C �ences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />