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l tb' <br /> 813-780-0020 [� rd``t ��iu� <br /> tY ,,a�L, City of Zephyrhills Permit Application ��r C� Fax-813J80-0021 <br /> . � �,ar�`�,�c��n Building Department � <br /> r <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name Owner Phone Number �p•- J ~��2v2 <br /> OwnersAddress � $Q� ���c,�,yY-� �-�- OwnerPhoneNumber � <br /> Fee Simple Titleholder Name � —� pymer Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �2..- S `I� LOT# � <br /> SUBDIVISION _ PARCEL ID#� <br /> � (OBTAINED F�PROPERTY TNC NoTicE)DEMOLISH • <br /> WORK PROPOSED NEw CONS7R ADD/ALT SIGN <br /> INSTALL 8 REPAIR CJ � � <br /> PROPOSED USE Q SFR Q COMM Q OTHER L 1•t�1 C 2 ` �v"�p,D <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �`A ` ,3 � ���� , , <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> OBUILDING � <br /> �j i d�0 • VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING � � ����Gf <br /> / <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br />,�UILDER � COMPANY � D m,.Q� �NJ jt, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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# �— <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-O-W Permit for new construction, <br /> Minimum ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 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 Wark 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 /> Owner&Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over:7500) <br /> "' Agent(for the conUactor)or Power of Attomey(for the owner)wouid 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 />