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813-780-0020 City of Zephyrhills Permit Application �, /�' Fax-813-780-0021 <br /> Building Department � I�s <br /> �y <br /> Date Received Q–��� Phone Contact for Permittfn ��3 7�cSg _ "~j 'T..�9 <br /> Owner's Name nd �9 �G-7od�.( Owner Phone Number ��� " /�� —� <br /> Owner's Address �3 3 GJ � 5 l <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � '( S T LOT# � <br /> SUBDIVISION � PARCEL ID# � �a� ���C�� l0—� /(Opd—p��b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� ST�� c�� ��� <br /> BUILDING SIZE � °� X �� SQ FOOTAGE �� O HEIGHT � � <br /> [�BUILDING $�, �G��� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � � ��,S Q /Gt�s�l�� <br /> / <br /> �� �a� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION . ����Ii�� <br /> � �I <br /> OGAS Q ROOFING [� SPECIALTY [� OTHER (.� Q�U ���� ��u�"f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO(� 1�� C 3 U <br /> y`�' s� <br /> BUILDER �� COMPANY p�SOL�rI���TP../� �lY,DIJ$T�i�S <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ����g '��?LL ��y�, Z �� /' ��� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 J N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence inslalled, <br /> Sanitary Facilities&1 dumpster.Site Work Pennit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> '""PROPERTY SURVEY requtred for all NEW constructlo�. <br /> rf�Tr�rrrrrr��fi1111111e��rr��r�r <br /> Dlrections. '`y'" " � ���L�� <br /> Flll 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 57500) <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(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />