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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� �� <br /> Phone ConWct for Pertnittin <br /> T7--TrIT - r-r- <br /> Owner's Name ���� n) ��� �l�- �� G Owner Phone Number <br /> Ownefs Address f l.. ��jl r� 1� � pw� �e�ph�a?o 3(----� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS GGZ�( �-G� I S LOT# � <br /> SUBDIVISION PARCEL ID# !/~ �d`! ^UO�D�(�,J�� —��'� <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM OTHER (,(,j?/ <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME TEEL /���L� <br /> `e /y TO <br /> DESCRIPTION OF WORK f.LJ� li u'/� s J� (� � f.�� <br /> / (�, <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ �/��� <br /> �MECHANICAL $� y�� VALUATION OF MECHANICAL INSTALLATION <br /> V i <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QVES NO <br /> 1 1 <br /> BUILDER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y!N <br /> Address —� <br /> License# <br /> MECHANICAL COMPANY 'I�+E'�V r//Q Q l r I'J�(// � (yj-//� <br /> SIGNATURE REGISTERED l Y/ N FEE CURRE� Y/N J <br /> Address 0�0�7 jfjGLl����e# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consiruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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,(1)set of Energy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new pro7ects.Alf commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 1 1 1 • <br /> DirecGons.• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notanzed <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Sendce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />