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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � � 3���� <br /> _�«, � <br /> Date Received �— 1�'"( Z Phone Contact for Permittin �( � �! _ �(J I y <br /> Owner's Name Owner Phone Number <br /> Owner's Address �'7�2' � 3 Owner Phone Number C —� <br /> Fee 5imple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3-�'7 Z 3 �G4(��.rJ , � 33 S D LOT# � <br /> r <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION d BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK �C1S�31Jrr W Ej,,l_ S�1'E' /M�fZp►/0'VJ��' � ��L����, � N6TlJ {�/�L.d/A]6 , <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ] <br /> QBUILDING $�2 � � QO(p r° VALUATION OF TOTAL CONSTRUCTION <br /> , J <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �'�r""� S��°—^��r � '� , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br />' `�i �ZS, <br /> � � / . <br /> ELECTRICIAN COMPANY �f/�% �CC�i'YL. L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> (!(t Fi.F s s�-n , <br /> C9i3 �g c-�-�c�21 <br /> Address License# <br /> PLUMBER �� I COMPANY <br /> SIGNATURE � .Sk.�,�- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL (�'�/f`,�,,p COMPANY <br /> SIGNATURE � '�" REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Fo►ms;R-O-W Permit for new constniction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*"'PROPERTY SURVEY required for all NEW construction. <br /> Dtrections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) � <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 shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />