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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � - Building Department <br /> Date Received Phone Contact for Permitti� _ <br /> Owner's Name �it� �Ai r0/✓� � J�L� Owner Phone Number <br /> Owner's Address �3�1 1r��LL ��/� Owner Phone Number �- <br /> Fee Simple Titleholder Name Owner Phone Number -1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS --j��! � GL ,�G 1/,� LOT# �� <br /> SUBDIVISION PARCEL ID# � l ���a ����� !''0 (� <br /> (OBTNNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> 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 /�-OQi" �`� G�1 T/�' ,`�6 �j4 /'✓j�TjfZL <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> OBUILDING S � I �/� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS �� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> 6UILDER 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# � <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 v-rTv%r✓ �����" <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address a 60 13 b s Q�, f-L 3 j s� License# �-���`�f- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 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 construcGon. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer S Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgradea 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 AppticaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />