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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building DepartmeM <br /> Date Received Phone Contact for Permittin �P `F �� <br /> Owner's Name l r e- Cin Owner Phone Number O�.S ��'� <br /> Owner's Address a��1ZY �.5� � Owner Phone Number <br /> Fee Simple Titlehdder Neme (' � Owner Phone Number <br /> Fee Simple Titlehdder Address U/—( C�G�� ( i ( �Ct' d/". � �4 Sh v/// / �/� �'��-� <br /> JOB ADDpESS C.._ �1 . LOT# � <br /> SUBDIVISION PARCEL IDM S�c.��Z��J�bb�'"��� <br /> (OBTAINED FROM PROPEi1TY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT IGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��'iQ�. %>r�_Ki qp,.��.S f ,-, a� �^PG?r �b �-(a�p C1 ��CY�1 <br /> BUILDING SIZE / �� S�FOOTAGE � HEIGHT � <br /> �--�--�a----� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ D� <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l� <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 1 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREF Y/N <br /> Address �� f� <br /> � <br /> �.� � License# <br /> �_ r <br /> ELECTRICIAN ' COMP `(� �' <br /> SIGNATURE REGISTERED / F URRE� Y/N <br /> Address �8 !�- � - �2 ,� �j� Licensep '�.��00�7� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEFED Y/ N FEE CURRE� Y/N <br /> Addrcss ,�'� License# � <br /> OTHER C� ' ANY ��IG_ S� ,f <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � �-�C� �/r` License k �.S D GOGb��- <br /> 1 1 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 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fa new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Wak PermR fa subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of BuiWing Plans pus a Life Safety Page;(1)set of Energy Fams.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary FadlRies&1 dumpster Site Worlc 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 construc[ion. <br /> Directions: <br /> Fill out applicatlon completely <br /> Owner 8 Contractor sign hack of application,notarized <br /> Ii over$250p,a NoHce of CommenoemeM is required. (/yC upyrades over 57500) <br /> " Agern(fa the contracta)or Power of Anorney(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (FroM of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIOVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />