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813-78Q-Q020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �/ �G �3 Phone Contact for Permitting -- <br /> Owner's Name CQ t 1!r�hY 1� u/ Owner Phone Number � 7�'2.' y0 <br /> Owner's Address 38�l0.3 8 �' /�✓�t h/ G, 3,3ryZ Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J�GO.3 � j�rN�C ZY I� r�l.��IS � .�357� LOT# � <br /> SUBDIVISION PARCEL ID# I�"��''��� "JOy� "O��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN 0 MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM �J OTHER qr r , <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK Q'('J ,��`� O �YG r �iyJ��i^ ♦ii �1•f! �S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $S�/� O�_ VALUATION OF TOTAL CONSTRUCTION <br /> [ <br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> 0 PLUMBING $ " ��O�� � <br /> � <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS 0 ROOFING Q SPECIALTY � OTHER ��� r b <br /> l <br /> FINISHED FLOOR E�EVATIONS FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER � � COMPANY ��r.S �n n <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N <br /> Address � � ; License# /3L J/ <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,Construction Plans,Stormwater Plans w/Silt Fence instafled, <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 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 /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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 (F�ont of ApplicaUon Only) <br /> Reroofs Sewers Servic2 Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />