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813-780-002C� City of Zephyrhills Permit Applicatio Fax- -780-0021 <br /> Building Department <br /> Date Received � i� �( ?, �Z G 2g - s�u ^ <br /> Phone Contact for Pe ittin 7 � <br /> Owner's Name /C/�' � ner Phone Number <br /> Ov�rner's Address � g �j T• , �...�G Owner Phone Number <br /> Fee Simple Titleholder Name � d.,�,�,��,�,r, `���� l� pWner Pho�e Number <br /> Fee Simple Titleholder Address (� • �x 1. p�� <br /> JOB ADDRESS / /� I. 3 LOT# C� <br /> SUBDIVISION PARCEL ID# -` �m, e �Cj�r�f� ^��v <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED NEW CoN57R ADD/ALT � SIGN [� � DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME C� STEEL Q r— <br /> DESCRIPTION OF WORK o�� L.L � � j�C�j� ��S CZC'� <br /> BUILDING SIZE �— SQ FOOTAGE[��_?__J HEIGHT <br /> ��UILDING $ VALUATION OF TOTAL CON TRU 3vf d00•!�� <br /> QELECTRICAL $ AMP SERVICE � NERGY Q W.R.E.C. <br /> QPLUMBING $ � I '��b <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /� ��G <br /> < <br /> OGAS Q ROOFING [� SPECIALTY � OTHER / Se�—�/Q� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER '� <br /> SIGNATURE �� �I�OMPANY �� <br /> REGISTERED / N FEE CURRE� Y/N <br /> Address m,e.0 u �S f'C� License# CGG pG el� c1S'y <br /> S GNATUREN �ii'/e'��1����f� �� �� COMPANY l �(?��� L�L <br /> �L REGIST E R E D Y/ N F E E C U R R E� Y/N <br /> Address � J� �� � ',3`l�rC License# �� , �6 <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 wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 Facitities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <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 /> Ovmer&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over:7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (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 />