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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> B�ilding Department <br /> Date Received n j7 ' '� � �` <br /> ' ��v �- � � Phone Contact for Permittin X 1 � � j✓ - 7� � � <br /> i /'' ,/ f <br /> Owner's Name °� (_^� <l'" C �� �(�'�� �1� � Owner Phone Number l� L� ����� ���� <br /> Owners Addresa � �' � j �� �� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number -� <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS .��� .: , � `1 r� '� J� �� <br /> LOT# <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK �!U�L\L TL' �lJ Y���.l�/L L_ I " � ;+�f �i � ��--�-,'Q I�' � '�� �4 <br /> i � <br /> BUILDING SIZE `� /� 1�7 SQ FOOTAGE ����,I'. HEIGHT ' <br /> OBUILDING a VALUATION OF TOTAL CONSTRUCTION � ` <br /> �L1/�/,�/,���'• � ��r`iC� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ � !1��i� <br /> �f <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �L ,��5 <br /> , �,.�l��o�. <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER '3 ��S��r <br /> � ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '� l3 3�� <br /> BUILDER ✓ �� COMPANY � ,I'�� <J��°1 i/l�/'� �E I (��-� �L� <br /> SIGNATURE ��'�-��-��/'���� rr��� �I REGISTERED N FEE CURRE� Y/N <br /> Address �-l'--� �'3 r,1��'����,�� ti �� • ;"'�:,���• �'j. �...� �7 License# -�'�� �..i f � �'c' <br /> � <br /> x ELECTRICIAN �D �� COMPANY �� � L` l � !O�` <br /> SIGNATURE .� � REGISTERED / N FEE CURRE� Y/N <br /> Address License# <br /> X PLUMBER ` , COMPANY � OG✓ %�'I (/��'!1 /%1 <br /> SIGNATURE J�- REGISTERED / N FEE CURRE� Y/N <br /> Address License# ��y��3 7� � <br /> MECHANICAL ~ � COMPANY S `'d /II C� <br /> x SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# (, rT C.1� 3 / / ` <br /> OTHER COMPANY <br /> SIGNATURE 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)working days after submittal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence instalied, <br /> Sanitary Fadlities&1 dumpster,Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Bufldtng 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. Requi�ed onsite,Construction Plans,Stormwater Plans w/S(It Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appliption,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over i7500) <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 PERMIT7ING (Front of ApplicaUon Only) <br /> Reroofs ii shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />