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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Pho�e Contact tor Permittin -- <br /> Owners Name /{�N CjG ��^�/�' Owner Phone Number g(,3 7�-2" °�'-s� <br /> Owner's Address 3�S /'7 ,�L��/���L G�-�-`L/� A v� Ow�er Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number —1 <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS 3 SS� 7 �J 1 1�J �FL b����� f� \J L� . LOT N Z � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK lC� �L�C�' �RT�o �Tc�,�:�'S W i 7"� t� �� ��, e2� 7� ,SL i} � <br /> BUILDING SIZE SQ FOOTACaE 7-`1� �4 � HEIGHT � ` � � <br /> �BUILDING S .,,5.� vv� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� <br /> Cj <br /> � I � <br /> �MECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �?�y — �' COMPANY �J�n� <br /> SIGNATURE ��'� �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> EIECTRICIAN 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/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days atter submittal date. Requfred onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng P�ans 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 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 construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is required. (A/C upgrades over s7500) <br /> " Agent(for the contractor)or Povver of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERM17T1NG (Front of Applica�on Only) <br /> Reroofs if shingles Sewers Service Wpgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />