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, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depafinent <br /> Date Received � 'y-= � — <br /> �_.__ Phone Contact for Permittin <br /> Owner's Name �%/i� j• P s Owner Phone Number /�- �"���J <br /> Owner's Address 'S L�� �'�� �r Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> ,. �. <br /> , .� <br /> Fee Simple Titleholder Address - '-�� <br /> � . _.__ <br /> JOB ADDRESS . �S ��� �Y' � C- T Z� � F� 3'3`�—T °� LOT# �� <br /> SUBDNISION �Jl�J'C T ��'���T�s � PARCEL ID# v �°��-�G - �-���3i a -���v000 - p�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> � <br /> (� � v , <br /> DESCRIPTION OF WORK � e J �'� T' '^ w �l ' � � �`> ' � -''� <br /> BUILDING SIZE 3Q FOOTAGE� HEIGHT ] C <br /> �BUILDING $ -3 U O� � VALUATION OF TOTAL CONSTRUCTION <br /> : <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� COMPANY 1,%� �'" 4ht t � 4I e��G' <br /> SIGNATURE REGISTERED Y FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J 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 I N <br /> Address License# � <br /> OTHER COMPANY <br /> 31GNATURE 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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlitles 8�1 dumpster;Site Work Permit for subdivisionsAarge 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 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 ali 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 /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of app�ication,notarized <br /> If over:2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> *` Agent(for the contractor)or Power ofi Attomey(for the owner)would be someone with notarized letter from owner authorizing�ame <br /> OVER THE COUNTER PERMI7TING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ' " " <br />