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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner'sName �i�. �N �� �(/L J�,Biry�v,/�I�� OwnerPhoneNumber Q��" 7��J' '�p�1 <br /> Owner's Address //�(O /V Q6L� O�T' /e, Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�I�Il�p /V�U� OQT � zC � �`f�//s �L LOT� �] <br /> SUBDIVISION �/"�'�r /e /C�� PARCEL ID# V�'�(O'�- ��.30-��OQQ•oa9d <br /> (OBTAINED�PROPERTY T�nce)DEMOLISH <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT �� SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR O COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME �� STEEL � r— <br /> DESCRIPTION OF WORK �PG/1�(I�(�j/ Q �f'O I�I�J �� �/t!/`j ��yl�„3�p��j ��1 <br /> �Qva! #yc �u/�Pe <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AO/• O Q AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> oS � <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( �" � <br /> �f3�� oo � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> ELECTRICIAN +� COMPANY oJL�N/C/Q �Q � � ��/ �► <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �� ?'17..5 � ��/ � License# � /�Q/�oZ.O <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY �/U�C� �Q ,fJ�(/ / p,�/r �j <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address � �7v S// �/ �i h'�/� License# ��e l� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plens,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(11 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 Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> `*"'PROPERTY SURVEY required for afl NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />