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813-780-0020 ��� City of Zephyrhills Permit Application ����'ax-s�s-�ao-oo2� <br /> � ��� Building Department � (�� _ � " <br /> � 1S <br /> Date Received <�- � <br /> �- Phone Contact for Permittin �' -- ���� ��� �'DOc� <br /> Owner's Name C ��CM\� �`n.M v�v: \�(�,-� � Owner P,tyorfe Number <br /> �_O � NC- <br /> Owners Address � � r � , Owner Phone Number <br /> 3�sac� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1 I�O �C _\C \ � -� UCZ LOT� �� <br /> �J <br /> SUBDIVISION PARCELID#,�� �c� �� I"OVOb— ��O-Cj�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ^ � �� �C � � <br /> BUILDING SIZE SQ FOOTAGE NEIGHT <br /> [�'�ILDING E �!� f�f , VALUATION OF TOTAL CONSTRUCTION <br /> �J ��,tiJ � �,f �� � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS E RG Q W.R.E.C. <br /> C�7�e�� �/�' G�F� C?.L �� <br /> QPLUMBING $ �7��l�'l� �Gr2%ri�'1 �P . <br /> � <br /> �'l <br /> OMECHANfCAL $ VALUATION OF MECHANICAL INSTALLATION ����� � � r'i a' <br /> �m�t � � ;,�,1 <br /> [�GAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> � <br /> FINISHED FIOOR ELEVATIONS FLQ�ZONE AREA QYES NO <br /> �U <br /> BUILDER ~' �-V', COMPANY ������Z ���1�V��ti� <br /> SIGNATURE �- ��. � � �� <br /> � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y J 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 <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/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)v�roricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadNties&1 dumpster;Site Work Permit for subdivisionsAarge 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 /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fili out applfcation completely. <br /> Owner 8 Contractor sign back of application,nota►ized <br /> If over 52500,a Notice of Commencement is required. (AIC 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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />