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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received � '� � _ � <br /> Phone Contact for Permittin J <br /> ,:� <br /> Owner's Name W'/LTL r� �s�/• �'��1��$ Owner Phone�Vumber GO 7'7 � �J�7�� y <br /> �.� <br /> Owner's Address �. u7 �r � �° f/US Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S r � � �/�S I�L' LOT# I D <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER t o <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> R�PcA� ry � 6 w; o �r y Ej�M/�JL R. k � a , . _y� <br /> DESCRIPTION OF WORK ' <br /> �=:...._._ <br /> BUILDING SIZE � 3Q FOOTAGE� HEIGHT ; C-' v /� <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION '�.- �! �' � � (�J"� <br /> � ��' �� $ � <br /> �! �.3-cs-� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ..� � ��'C� <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES � <br /> � ��� <br /> BUILDER � //j� �l;�� COMPANY E <br /> SIGNATURE D� �'° REGISTERED Y/ N F E CURRE� Y/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 I N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANiCAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y I N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaGliUes 8 1 dumpster;Site Work Pem►it for subdivisionsRarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facifitles 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 application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over ST500) <br /> `• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized ietter 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 />