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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelve� Phone Contact for Permlttin — <br /> Owner's Name ,�ll�cN L's�, �}/���/V TG' Owner Phone Number ��.�� /0.3�"y��/ <br /> Owner's Address �•-�-y � /�r/y�7��= � Owner Phone Number �r3-3 9�- 3��' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS J�'S�5 � � S7/ZL'X,-'`� �.G-'r�/t��1�1L�'` LOT# C� <br /> SUBDNISION �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT� �j�`� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR T <br /> < <br /> PROPOSED USE SFR Q COMM � �E7THER � / � <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q �L Q <br /> DESCRIPTION OF WORK I��i�������� �'",1�7�.��.(��G✓/y/� /���• /�`�� lil�Dl'7/f.ki�L �,�1�/,A'�✓ fy';tl�'G� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� `� ( � "1 ' <br /> QBUILDING $ / --r�,.. <br /> ��- j� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0 <br /> OPLUMBING $ (.1�I 3`1 <br /> I � 1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER +��J COMPANY N ,f�I�?k>[�c,,. <br /> �jJ/� �/ k <br /> SIGNATURE /��7� y��/ � u 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 Lfcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y 1 N <br /> Address 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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadBtles 8 1 dumpster;Site Work Permit for subdivlsionsAarge 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 consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <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 all NEW construction. <br /> Directions: <br /> FiII out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over a7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notari2ed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Servfce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />