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813-780-0020 City of Zephyrhills Permit Application�����"r� Fax-813-780-0021 <br /> , , Building Department / <br /> Date Received —�(�-��Z phone Contact for Permittin �7 — J �/ <br /> Owner's Name �f �j� �1.. Owner Phone Number <br /> Owner's Address �1 J�' �/, �g ��3� Owner Phone Number <br /> Fee Simpte Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�31� �� • L— �f 2, '3 LOT# �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEO � NEW CONSTR 8 ADD/ALT O SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION �I BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��C1S'TI/1I� btJ����� ��,/ M�' /NLCV�/�� R l� �CI�L�ING, � <br /> BUILDING SI2E SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ 3Z1� G��� 'd0 VALUATION OF TOTAL CONSTRUCTION <br /> -�V <br /> QELECTRICAL � AMP SERVICE � PROGRESS ENERGY � W.R.E C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �'� 40�f'Y�� Q(Z^'�I �'►�r�-� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre ' <br /> 25��'`� <br /> EL CTRI�IAN COMPANY /' j� � �L <br /> SIGN�4TUJ2E REGISTERED Y/ N FEE CURRE� Y/N <br /> �'NC��GICI� <br /> � - � <br /> Address � ? License# ,J�� � <br /> n o0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 /> Address License# <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)working days after submittal date. Requi�ed onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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)worlcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(�sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Tr,-���ii�„�„������„„���. <br /> li 1 1 LJ 1 a I 1J.111 <br /> Directions. <br /> Fill out application compfetely. <br /> Owner 8 Contractor slgn back of application,notarized <br /> if over;2500,a Notice of Commencement is 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 PERMITTING (Front of ApplicaUon 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 />