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813-780-0020 City of Zephyrhills Permit App(ication Fax-813-780-0021 <br /> Building Department <br /> Date Received� � ' � b� <br /> -" Phone Contact for Permittln ��Z 2� v <br /> Owner's Name 2��j �OL t0�G e�L C�G ats aG Owner Phone Number <br /> Owner's Address " '� �O (� d A 1/! Owner Phone Number —� <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �C'S A �l.l.� LOT# � <br /> SUBDIVISION � PARCEL ID# -�Zcj`•2� ��3�-���0 Q — �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN �r� Q DEMOLISH <br /> e 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 ��/ � � C��L�, �Y)o U,�J%�� �.J ��G 'i >�/ <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> BUILDING $`,� O�6 c�o VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER ' / �� COMPANY �, .�G�S SP�} �,�5 j Q�/��i�,J � �� <br /> SIGNATURE !/ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# � � <br /> ELECTRICIAN `n�� COMPANY � �'� ' ; �/ <br /> SIGNATURE V�U REGISTERED / CURRE� Y/N <br /> Address ,3� License# �C��d b/.i��� <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)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 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)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 /> uireciions: - • <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would 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 />