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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> f,' <br /> Date Received ��•� ��— ���� phone Contact for Permlttin ' <br /> Owner's Name � /"1`�%�Ca� �t . � 1 tV� Owner Phone Num�- � 1-3" 3 S �— � <br /> Owner's Address � �7 �3� r�lD C ,C3�� �`��� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ✓ � O N l�'� �1 G� �' U���I'C, �1� `5 r(. .%�S � LOT�! � <br /> SUBDIVISION � S���d� �Y.. �J �ARCEL ID# ���3 .�� v��' L�/SD'��--��D�-�� !� /'S cJ <br /> _ ....,�._-�--.. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q �' DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q C <br /> 5�if�0.�t\�n Y �iF.�i A 9' �t�C f �0 ,Ot,h �y 1� C�, <br /> DESCRIPTION OF WORK J o . � � <br /> BUILDING SIZE � S(�FOOTAGE HEIGHT <br /> BUILDING $ � 2� p � VALUATION OF TOTAL CONSTRUCTION <br /> , <br /> [�ELECTRICAL $ �o o � AMP SERVIG� Q PROGRESS ENER�Y Q W.R.E.0 <br /> OPLUMBING $ `' � � � <br /> ,�,�,�'�-� �� .,.r /3 ��� <br /> �MECHANICAL $ VAL ATIO L INSTALLATIO� ��,.�--�"� <br /> �.. <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> S GNATURE ��� � REOG'SPT RED v Y/ N FEE CURRE�� Y/N <br /> Address S�P cL.D�W� License# � <br /> EL�CTRICIAN � ��I`� � �y � �� COMPANY �`►" .Q ✓ <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address C-��' C� i� License# C —� <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/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constru<:tion, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wo�lc Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pemnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onslte,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 construction. <br /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over s7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) � � a <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) ti <br /> Driveways-Not over Counter if on public roadways..needs ROW � _ , , <br /> + ,...., , � <br />