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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiyed �' Phone Contact fo Permittin / Z -- 0 �-) <br /> � � � ,�._�..^.._..... .. <br /> Owner's Name ."� Dwrt�r?h�S1Pe`T�fumber <br /> Owner's Address 2 �p �s I/i cJ II�OG,LQ.(� �- �_ <br /> Owner Phone Number <br /> Fee Simple Titleholder Name �wy � Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � OD �� �IU�1 , �t�° 61 /�`lijc 6 IS �� LOT# �� <br /> SUBDIVISION PARCEL ID# J�S ' Z�J • Z I • U 0/O � � • 00 <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 I LCU/��N.L}-T�i� (�rL�-(� -�j�� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� <br /> �BUILDING $ � �B� VALUATION OF TOTAL CONSTRUCTION <br /> [�LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> f ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _'/ ' � „�� � 7 COMPANY ��'�r �5� � (G�Lr. G� ��. <br /> SIGNATURE V"V REGISTERED Y/ N FEE CURRE� /N <br /> Address �� ��lil Q r �--- License# C� �Z � ( '�'f <br /> � <br /> ELECTRICIAN ' �G�: 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 I N FEE CURRE� Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess 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)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildtng 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 /> 5anitary 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 construcUon. <br /> Directlons: <br /> Fill out appl(cation completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (AIC upgrades over s7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be sameone 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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />