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813-780-002� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received I i <br /> � 1 2-- Phone Contact for Permittfn ,� __ �(7� � <br /> ..-." � <br /> Owner's Name Owner Phone Number <br /> Owner's Address a-� L � � 2–�S� p�er Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 �'1 f–t e �/' , LOT# C� <br /> SUBDiVISION PARCEL ID# ��' 2S��-� �'Q�� 'C�b O(�-- �/'� , <br /> (OB7AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT C� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [�� STEEL Q <br /> DESCRIPTION OF WORK ��►^nt��.,.t� � S�' ` r� S . <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> OBUILDING a VALUATION OF TOTAL CONSTRUCTION �j ��� <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRIGIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# <br /> OTHER COMPANY N�.. <br /> SIGNATURE "'" � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address CnU � �� �{�.,�,> 334-�d 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permft 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 /> Sanitary Facilities 8�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 requ(red for all NEW construcUon. <br /> Directions: <br /> Fill out applica8on completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement is requi►ed. (A/C upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the ovmer)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(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />