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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Budding Department <br /> � Date Received i w �� -- ^�/(f <br /> Phone Contact for Permitting ��� `� T <br /> .7_i__�__f <br /> Owner's Name V '(,'(��Q.� Q,� � •n�'a.9o9a <br /> Owner Phone Number <br /> Owner's Address � 1� • Owner Phone Number �� � � <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS S O�� I� \ • LOT# C� <br /> SUBDIVISION Ow� Z � 1,) ppRCEL ID# I � p(\p��'C��I� '+7�QO "a�p0 <br /> � (OBTAINED FR�OM PROPERTY TA�ncEl DEMOLISH <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER -� <br /> NPE OFCONSTRUCTION � BLOCK � FRAME � STEEL � �-� <br /> DESCRIPTION OF WORK �'�"t�� y U ,t..�Q�L, w��� ,� <br /> BUILOING SIZE SQ FOOTAGE HEIGHT �� <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY CI W R E C <br /> �PLUMBING $��� 'Ih <br /> .,�� � l ��Z l� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION y� <br /> GAS �� <br /> 0 0 ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � COMPANY • • • •� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� -�� <br /> Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE RECisrEREO Y/ N FEE cuRaEn Y/N �� <br /> Address <br /> License# � <br /> PLUMBER � COMPANY I�II�� W��� U'(Y'� I� <br /> SIGNATURE REGISTERED Y N FEE CURREf. Y/N <br /> Address '1' 1V � License# W (p�3d <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> license# � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N � <br /> Address <br /> License# � <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-0-W Permd for new construchon, <br /> Minimum ten(10)working days afler submittal date. Requued onsite,Construchon Plans,Stormwater Plans w/Silt F�=nce installed, <br /> Sanitary Facihties 8 1 dumpster Site Work Permit for subdroiswnsllarge pro�ects <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 /> Mmimum ten(70)workmg days afler submittal date Reqwred onsite Construchon Plans,Stormwater Plans w/Silt Fence mstalled, <br /> Sanrtary Factlihes&1 dumpster Sde Work Permit for all new pro�ects All commercial reqwrements must meet compliance <br /> SIGN PERMIT At�ach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requued for all NEW construclion <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of apphcahon,notanzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agen�(for the contractor)or Power of Attorney(for the owner)would be someone wrth notanzed letter from owner authonzing same <br /> OVER 7HE COUNTER PERMITTING (Front of Application 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 />