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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �t-'- 3 ,��� � <br /> Phone Contact for Permitting 5 a � — � <br /> Owner's Name � �`�..L, ' � Q'� ., � D � <br /> V � S Owner Phone Number 3� V � <br /> Owner's Address �`� —`�� ��-� Owner Phone Number <br /> Fee Simpie Titleholder Name h'� Owner Phone Number � <br /> Fee Simple Titleholder Address � l�} <br /> JOB ADDRESS �-i.l� �+�^ 5--� � l�—�(z.��lS -�L,• �3��C� <br /> LOT# � <br /> SUBDIVISION PARCEL ID# ��—��—a �' ����'— l�rj0�` �(�3U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL [� <br /> DESCRIPTION OF WORK O � �l\^�T�Pr� <br /> BUILDING SIZE SQ FOOTAGE �a o C� HEIGHT p�+ S�'"�1 <br /> �BUILDING $ I a a(�U� U� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS [�"-ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUIIDER 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 License# � <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 �L-• `wv�''�'`'�S T"�-�.� �v`C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �V• ti3 aQS79 T�n-�Q�l,�tl�.� (, �3a.1�(� License# C CC Q �'a '°' <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work PeRnit 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 /> uirections - ' ' • • --• <br /> Fill out appiication completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (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 PERMITTiNG (Front.of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />