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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department `'�2 S Ci� S,� <br /> v •�J O <br /> Date Received 2 ����� 3 phone ConWct for Permittin �� �/LJ <br /> OwnersName r`l7'r1�0.. �s � 1Q-� OwnerPhoneNumber V� "�Y3^ <br /> Owner's Address��� C���'-1��� 1 p LV� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS �� C a. L LOT# � <br /> SUBDIVISION PARCEL ID# D oC'"pt�� a'��O��v �v �s����� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R�/ ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL Q REPAIR <br /> PROPOSED USE Q SFR d COMM Q OTHER —� <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��17^F �'� (�Y�JY'� '� ��, (U � <br /> BUILDING SIZE � � SQ FOOTAGE `J�� � HEIGHT � <br /> QBUILDING $M 4� �� VALUATION OF TOTAL CONSTRUCTIO�� g� � I� <br /> .� o � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �,r 2��� <br /> I � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �— License# � <br /> MECHANICAL , OMPANY —� <br /> SIGNATURE REGIS�jERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> OTHER � 1 —� <br /> �i 1 COMPANY e—C--T(%L �J)j/�'1 C 'C.�, <br /> SIGNATURE t � �' REGISTERED Y N FEE CURREN Y/N <br /> � <br /> Address LD�9 � N License A' _� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Aqach(2)Piot Pians;(2)sets of 8uilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worki�g days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Ferice 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 Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required tor all NEW construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over Sz500,a Notice of Commencement is required. (AIC upgredes over$7500) <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 Appiication 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 />