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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bwlding Department <br /> Date Received Phona ContactforParmittin <br /> �_�_�__r -- <br /> Owner's Name 6_I l�� � V�-S��r�$ y� • Owner Phone Number � 7����S <br /> OwneYs Addross Z-�L� V�- � � ��� �J�, ��:� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � ) / / � Z�/f/ <br /> 1�Yi <br /> 1"r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Z �-^ �A� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK l ` O �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � � �--'-I E�-c-7 � I GC-V` <br /> �T�� � L'll i�ll1��C.I n� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION ��� I , <br /> QELECTRICAL $ ,..,�AP SERVICE Q PROGRESS ENERGY Q W R E C <br /> /��� <br /> �PLUMBING $ � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> (/`�ELECTRICIAN COMPANY Sn�-er�oc� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addresa ���� �2 1�� � / License# ��� 3�X� ���`� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y 1 N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �—� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bwiding Plans;(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&1 dumpster,Site Work Permit for subdrvisions/large pro�ects <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 conslruction. <br /> Minimum ten(10)working days after submdtal 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 requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •'•`PROPERTY SURVEY required for all NEW construction <br /> D�rections:• <br /> Fill out application completely <br /> Owner 8 Contrector sgn back of applicatwn,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attorney(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(PIoUSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />