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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ''J� ' � phone Contact for Permittin — <br /> Owner's Name 5�1pi1 'rL 1 {� �„p�, Owner Phone Number <br /> Owner's Address �1�dl�p �,,e Owner Phone Number � <br /> Fee Simple Titleholder Name �— � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �1�-Ar�IpE.Q. �o LOT# � <br /> SUBDIVISION PARCEL ID# � O 1, b O DO O 4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR 8 ADD/ALT Q SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER [-- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q r <br /> DESCRIPTION OF WORK _ —�'I��� f� �3 � �r� S�-, i �vt � E � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ c�a.' VALUATION OF TOTAL CONSTRUCTION <br /> �Z <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � ,� <br /> v �� 7� <br /> QMECHANtCAL $ VALUATION OF MECHANICAL INSTALLATI N `� `' <br /> �t�_. - y� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �_. COMPANY �j�.tti•l L,�, .h et � s't"« � � <br /> SIG RE REGISTERED Y/ N FEE CURRE Y/N <br /> Address License# ����',S 8 1��� <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 CURRE� 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 I N <br /> Addreas L(cense# C <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�lcing days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&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 wf Silt Fence installed, <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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contracto ' at�on,°notarized <br /> If over;2500,a N ce of Commencement is required. (A/C upgrades ove °`�°�,-�- .�«� �-,� F� ,: ..� <br /> "" Agent(for the contr _,_};praP.ower of Attomey(for the owner)would be someo with notarizedaetter from owner authorizing same <br /> OVER THE COUNTER IYF`fTT�NG� ' (Fron�°o'�AppH�iAnly) <br /> Reroofs if shingles e�� '�5�rv�Ce Upg`taides A!C Fences(PIoUSu y/Fqotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW "''�""-"�w'• ,_�.m- �• -���*. <br />