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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' ' 8uilding Department <br /> Date Received � � 7 8a _ /O� <br /> Phone ConWct for Pertnittin <br /> Owners Name 1Q, 6 I LU. 1'' Owner Phone Number <br /> Owner'sAddress ���b� �/•rp�l �1 �C� � T OwnerPhoneNumber �—� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �S C.D f C U I�IJ� LOT# �3�� <br /> SUBDIVISION (Yl(1� � PARCEL IDtI ��'�d�'a I'"DI uD'�— 3�SG <br /> (OB7AINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK O FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �GC � C S I` � C CJ <br /> BUILDING SIZE S�FOOTAGE HEIGHT �� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'"' /��� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �F�/�f � � COMPANY �� ��srKU�-no r <br /> SIGNATURE �� C� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��S/'i ' i2/.b fi ��/� License# 1.�+�1'.v S7� �` <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y I N FEE CURREI. V/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �d�$$ License# � <br /> MECHANICAL COMPANY —� <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seLs of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsAarge projeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new constiuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sitt 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 /> Directlons.• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgradea over 57500) <br /> '"' Agent(for the contractor)or Power of Attorney(for the owner)wou�d 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 />