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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ Cj_�3 <br /> Phone Contact for Permittln __ <br /> � <br /> Owner's Name � � �tl�G,�DN Owner Phone Number <br /> Owner's Address � �� f p ��E Z� Owner Phone Number � <br /> Fee Slmple Titleholder Name � —� Ovvner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS 3 Q Z�Z- /D �✓�}[/r�" .Z/� LOT# C� <br /> SUBDIVISION PARCELID# � ��(����"�OID "Q�'jQ�U'—U'Olff <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 Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK .� Y '�V� SS t 4� �2 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING � a� DO � VALUATION OF TOTAL CONSTRUCTION <br /> J�, <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING � r ,(/�v <br /> � , �.rl <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` <br /> QGAS �.ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �j <br /> BUILDER COMPANY <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 Llcense# � <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 ar 9J�,v ,�-' �4%i.✓�' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � CJl� l3� �DJ,QE L'J7� f� License# ��O0y,6`z�l <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Ptans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Wo�lc 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 constructlon. <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 constructlon. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement Is requi►ed. (A/C upgrades over 57500) <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 PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />