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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � Building Department <br /> Date Received <br /> Phone Contact for Permtttin <br /> Owner's Name � "�T ////g/�' Owner Phone Number �!�'� TT "��a2,. <br /> Owners Address �a zcP �� h�NS �'�F� p�er Phone Number � <br /> Fee Simple Titleholder Name _ _ Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� �'� h en► s �J--TH LOT# C� <br /> SUBDIVISION �/�1/ /e D K.$� PARCEL IDM Q3" �(O'o��- d�C@ CJ 6DQ�-�37d <br /> � (OBTAINED FR�OM pROPERTY T�TicE)DEMOLISH <br /> WORK PROPOSED NEW CONS7R ADD/ALT SIGN <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK L°/Y1Q � �- � � ta � � e�}-� (�L�'y� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING IS � VALUATION OF TOTAL CONSTRUCTION <br /> �_ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING s <br /> QMECHANICAL a $��5� � VALUATION OF MECHANICAL INSTALLATION � ( ���� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO /'/1 <br /> � <br /> BUI�DER COMPANY <br /> SIGNATURE 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# � -1 <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> MECHANICAL �f� �/yy�Q � � COMPANY w/TC!"I'��� � �fi <br /> SIGNATURE �+'�"''�—"' REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# I (� �-� � `�j��'�'� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y J N <br /> Addreas License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Bufldi�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 Pians w/S(It Fence installed, <br /> Sanitary Fadlities 8 1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer 8 Contractor sign back of applicallon,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgradea 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />