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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � 2Z -��i <br /> Phone Contact for Permlttln -- <br /> Owner's Name � /� � S / PJ�6�V Owner Phone Number �l�,3 0 �" �O�� <br /> Owner's Address � � O Ct'0�0 � Owner Phone Number � <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/� d O�O d � LOT# C� <br /> SUBDIVISION G/� O Gt� D QC(� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER r <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q- � <br /> DESCRIPTION OF WORK �� � � �(.7 <br /> ' / �� �OS.� �»S�'Pr /.�5�'�rvn'v� <br /> BUILDING SIZE � SQ FOOTAGE D HEIGHT s '`�'` /9�ra <br /> �BUILDING $ L/�f�'�'�� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ..{� �3( I `� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER /' �/�� � �� COMPANY U�'YI� D��jU�IL°I� <br /> SIGNATURE L��'�V 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# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# C -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Pfans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, <br /> Mlnimum ten(10)v�orking days after submittal date. Required onsite,Construcdon Plans,Stormwater P�ans w/Silt Fence installed, <br /> Sanitary FaciUtles&1 dumpster;Site Wor1c Permit for subdivlslons/large 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster.Site Work Permit for all new proJects.All commerciat 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 application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> "` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner au#horizing same <br /> OVER THE COUNTER PERMI7TING (Front of Applicatlon 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 />