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813-78��-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . �/.3 � ='� � 7 <br /> Date Received , � G^ N � <br /> Phone Contact for Permittin p d�_ <br /> Owner's Name �//✓� ��G ,sf g.�?p�jLG��,�rw� �� pWner Phone Number ���" ��.— � �,� <br /> �a �j ��.�r�f f z�%�, �c;��s 1�3s�.3- �---- <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O A �L� „S7'� Z�1�/ ,e�( C L �"'�. �� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM P ERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT �� SIGN � O DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK x $� 1JS f�AC� �0 3AGlr U}! � .,3 �'Y� 136 S f f��, <br /> BUILDING SIZE �G ��I 1lj/Ai SQ FOOTAGE �e j lCt '� HEIGHT f� /G� �/ ��� `pE -JC-��� <br /> .� �C�o• <br /> QBUILDING $ <br /> Cf`j C1,p v VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> OPLUMBING $ ��J/ „� <br /> --�f ' `�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER �'� ;. COMPANY <br /> SIGNATURE CL- REGISTERED Y/ N FEE CURRE� Y J 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 <br /> Llcense# <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 /> Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdiv(sions/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 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 /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br />" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br />)VER THE COUNTER PERMITTING (Front of Application Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />