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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��3 Phone Contact for Permittin � � <br /> Owner's Name � (' � Q N ,��I Owner Phone Number <br /> Owner's Address S� � � U M M-t r �� /l (' pwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �`S` �UM,�NZ t �-/� ��r Z-r l ��� �� LOT# [a 3 1 <br /> SUBDIVISION S lS M M Z r � � �� PARCEL ID# ' 2 h ' Z I " G 1��^ 0�G�—��,� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR 8 ADD/ALT C� SIGN [� �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK S E x'�,S Yj S � <br /> BUILDING SIZE I� X L,,,�� SQ FOOTAGE C� HEIGHT <br /> �BUILDING $ / �O� VALUATIOIV OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ n , J� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> )v ( <br /> OPLUMBING $ � � i���CG <br /> 7 <br /> �MECHANICAL $ A / n VALUATION OF MECHANICAL INSTALLATION <br /> �v �y <br /> �GAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO <br /> BUILDER ���,, � COMPANY T �(.e�N 'r /-' <br /> SIGNATURE ��v�(,.-. REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �l �� SC>M,�l 'r� �� � j�� Zz)� ,�,'�S License# <br /> ELECTRICIAN � /] COMPANY <br /> SIGNATURE �7 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> PLUMBER � /� COMPANY <br /> SIGNATURE � REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL l n 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)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 subdivisionsflarge 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 consVuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Const�uctlon 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&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor}or Power of Attomey(for the ownar)wauld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onlyj <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />