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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin 0� � �S��_ j �p ��, <br /> Owner's Name ��� /-rG L(,��� v ' � /`� Owner Phone Number <br /> Owner's Address 3�7�l J L-�i^ls% � S' /�f j/� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .3 � L" ('} tJ,.J r JJ�'' LOT!! �� <br /> SUBDIV1310N SL£�!'° L s La� �y PARCEL ID* va� �� ^.�I - OO J O � G Z7 C� - �'O�'G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � 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 0 STEEL Q <br /> / t <br /> DESCRIPTION OF WORK C� /G'O �� { � L �� C(� <br /> BUILDING SIZE � � SQ FOOTAGE / O HEIGHT � � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> s� �� � � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ � ��� <br /> ( <br /> ���3��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �+j��v " <br /> ✓ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA � <br /> QYES NO � <br /> BUILDER ' t , COMPANY /-/�S'�' c� ��/✓G"� C'G /�.J <br /> SIGNATURE !��/ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# �— � <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 Fortns;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 FaciliNes&1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is requlred. (AIC upgrades over;7500) <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 AppHcation Only) <br /> Reroofs if shingles Sewers Servfce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />