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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�Received phone Contact(or Permittin -- <br /> Owner's Name ,r' � L� ,rvt Owner Phone Number <br /> Owner's Address �C> 1 CO �i�'1 A�'1� �� A�b�O � <br /> Ow�er Phone Number <br /> ll.�{v� � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Addresa <br /> JOB ADDRESS 3�L� Z r d D+� LOT# � <br /> SUBDIVISION PARCEL ID* D L O O d O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADDJALT � 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 _ �E �V 6 T S�l�h G � <br /> BUILDING SIZE �_ SQ FOOTAGE ZZ` � HEIGHT � <br /> OBUILDING S���� . � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a � ���� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> $ S2�O :O v �� <br /> QGAS � ROOFING Q SPECIALTY �] OTHER � <br /> � . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILQ� ��� �_ . COMPANY � �h A�PE•��o a�}•� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��4C1. � �\ �f,��� r � � �ikl License# ���..�5� 1 3� <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# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# C <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C_ -� <br /> RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilfties 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Wor1c 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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized . r,. <br /> If over t2500,a Notice of Commencemen�fs�ec�,ir,�l C upgradas over S�0) <br /> .. �,. r .�, ,.�-...q.a., <br /> Agent(for the r)or Power of Attomey(for the owner uld be sameone nota�;letter f�om own,�r autharizing san�e <br /> OVER THE COUNT PERMITTING (FFQM Of Ap�IIQ�titxl ly) r'� � #�,�..�' , � <br /> Reroofs if shingles `�.�yvers Service Upgredes A/C� , ences(PIoUSurvey/ otage) <br /> � <br /> .z � .� <br /> Driveways-Not er Counter if on public roadv��„npqQs,ROW <br /> ,�„„�;,,.-n,., � <br />