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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , • � Building Department _--=-="""—" �-'°����_�---�--___ <br /> �~�-,.., <br /> Date Received � 9.� l 3 / <br /> Phone Contact for Permictln - ��_.�_.�.._.�_ <br /> � <br /> Owner's Name '{� � Owner Phone Number , �' <br /> Owner's Address �y� 1 �j —T� �L��S MI�� � v C= Ow�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C-',:�73 U 1 C(L , �S ��' �V C 2� Ll �� t) � �OT# � <br /> SUBDIVISION , PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT L_ SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �"`" � a� ��� �V � S � �i�l �3('-QQ� /�(,L� � � � .�L� <br /> BUILDING SIZE ✓ J� `�CU� <br /> SQ FOOTAGE HEIGHT � � �� ��� <br /> �BUILDING $ <br /> • �C�, �,, �., VALUATION OF 70TAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C, <br /> QPLUMBING $ l��`j�C� <br /> � /�f-�i <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( <br /> �GAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER � � COMPANY �Q(,(�n� <br /> SIGNATURE REGISTERED Y/ N FEE 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/ 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 <br /> 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,Construcdon Plans,Stormwater Plans w/Silt Fe�ce 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 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 instal�ed, <br /> Sanitary Facilities 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 a!I NEW construction. <br /> Directions: <br /> Filt 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 contracto�)o�Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER 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 />