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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 /} /V �, �C ' Owner P1�o Number .,1„ � ,�.�� ��- � <br /> -� . . �.,._ __._--•% / <br /> Owner's Address /�vGw l� f�.C./N� „�L Owner Phone Number �9 ��9�- 3�z6 <br /> Fee Simple Titleholder Name �+( � � 'C Owner Phone Number el3 y oZ�( Z- ,3�'3 Z� <br /> Fee Simple Titleholder Address ' �,�, <br /> JOB ADDRESS ,3 G �CC-J2 Jy p��, ,�L,= /�, LOT# oZO� <br /> SUBDIVISION /���R ��/J/� , PARCEL ID# '�'�'� '"eZ `�0 d —�OOOp D '�Z.��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN 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 �{t .C./9'C,�� U�N� �(, (,t� iN�ar.LS %()(� �,��s (,J/N�p��s¢' �(* .Y rj� <br /> /�J SG�G � q <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ � � VALUATION OF TOTAL CONSTRUCTION <br /> . ._.. ----.__..___.__._� <br /> �ELECTRICAL � AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> �PLUMBING $ <br /> Z�Z 2' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> , BUILDER C��PANY � � <br /> SIGNATURE;_` ¢ REGISTERED Y/ N FEE C RRE� 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lice�se# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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)complete sets of Building Plans plus a Life Safery 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 instalied, <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 constructio�. <br /> -r„�,-.�.,�.,,� <br /> � r,r.r�-rrnr�r���i��e���������.,. <br /> D(rections ��-�+�-�+�++��+++��ur <br /> Fill out apptication completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,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 notarized letter from owner authorizing same <br /> UVER THE COUNTER PERMITTING (Front of Application Only) ` � -. <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />