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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received f - � � _- � <br /> Phone Contact for Permfttin __ <br /> Owner's Name 'i c.- �.J Owner Phone Number 5��3� y <br /> Owner's Address N/ /�.S / ��5 Owner Phone Number <br /> Fee Simple Titleholder Name �'� � Owner Phone Number <br /> Fee Simple Titleholder Address �7S� i��-�S� <br /> JOB ADDRESS �.S� ��� '"� � �1 �S Y p� LOT# � <br /> SUBDIVISION PARCEL iD# '- - - (�C7(Q- ' b O•-00 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONS7R 8 ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK ��� �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0 <br /> PLUMBING $ � �l, �r <br /> _ �� ���� � �� <br /> _ _,f,��:_—__. <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLAT#�t�`'��� �� J�� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License t� �— <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 o2�� ` \� , ��� 3?j7? License# G�C �5� �a"� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days aRer submittal date. Requlred onsite,ConstrucGon Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary FacitlNes 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 af Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worlcing 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 construcGon. <br /> Directlons <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,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 Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />