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813-780-002� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � - �— }2 7 jj� __ g.7� <br /> Phone Contact for Permlttin J E-� <br /> Owner's Name ,.] / ,� 1 Owner Phone Number ��� ���g' S7 D�(� <br /> Owner's Address �(9 � � �J�Q.e. � � Owner Phone Number �— <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �tp I � /J�Q `� S � . LOT# C� <br /> SUBDIVISION CPARCE�ID� �.l' - - �� <br /> �"^�-- �v°v�NnGY rRVni�RVYCKII I/VC NUTIGE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN [� [� DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER p. -�, � <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEI Q <br /> DESCRIPTION OF WORK 8✓ICt?i� P`"Q,/��%/I !f� ��l � - � <br /> BUILDING SIZE - SQ FOOTAGE�� HEIGHT <br /> BUILDING IS ��-�� VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRICAL �� AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �, V" <br /> BUILDER � 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# �— —1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflltles&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructfon. <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 Permlt 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 construcBon. <br /> Directtons: <br /> Fill out applicatlon completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over=2500,a Notice of Commencement ls required. (AIC upgrades over s7500) <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 Appllcation Only) <br /> Reroofs if sh(ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />