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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rsceived " <br /> Phone Contact for Permitt(n !' � _ 6 Q <br /> Owner's Name A� � t �5 <br /> Owner Phone Number <br /> Owner's Address <br /> Owner Phone Number <br /> Fee Simple Titleholder Name t�,�. ,�- <br /> Owner Phone Number <br /> Fee Simple TitleholderAddresa �o� l� �V'uwc� �,Qg @�,,, �..c� ,B rU.� <br /> JOB ADDRESS '3$"7 (� 5'�;v..�'�-�, �.�}�Q � <br /> �OT# � <br /> SUBDIVISION PARCEL iD# <br /> (OBTAINED FR�OM pROPERTX T�Tice)DEMOLISH <br /> WORK PROP�3ED e NEW C�NSTR� ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE [I�- SFR Q COMM � OTHER .e <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK ��� �'j ��- �L �d� �� (M,�� ns -` � <br /> Ke(r�J — <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ <br /> � '7C9 O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING a � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �3 v� / <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> S GNATURE � COMPANY ��� ���rv o(69 GtQS <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# C <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# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C <br /> RESIDENT�AL 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)virorking days aRer submittal date. Required onsite,Construction Plans,Stormwate�r Plans w!Silt Fence installed, <br /> Sanitary FadllUes&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bufiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new pro)ects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consVuction. <br /> v��e�iwns: -- ' <br /> Ffll aut application completety. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over i2500,a Notice of Commencement(s required. (A/C upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (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 />