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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —1�_'�p�"� phone Contact for Permittin ��3 -7�� _ � �jQ� <br /> Owner's Name �-Q�-Q ��'iY� +( 9- R e Owner Phone Number �O� �(�( �- 7 O <br /> Owner's Address � �7 a 3 5� Owner Phone Number -J�O-� OO <br /> Fee Simple Titleholder Name �- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3��a'3 �,�5S� � �•� LOT M � <br /> SUBDIVISION URh1��E Pj�1�5�M }Z,4�.iCl-E PARCEL ID� �Oa � 1�� da- <br /> �.'� OU.A6 <br /> (OBTAtNED 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 Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK f't IC�- G� � •� Gc..l� <br /> BUILDING SIZE SQ FOOTAGE 1� � HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENER �._�,,W.R.E.C. <br /> QPLUMBING $ <br /> �ECHANICAL a ��,� VALUATION OF MECHANICAL INSTAL TION /�3 �� <br /> o ( <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER ....__._.___ _ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES � NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License� �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY 4 C�� e � 'D� �� CG `��- <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �d• �k 1 l a.� 'Z=�l� � L� �• Y License# � ,�C �� �`�`(��^ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facllides 8 1 dumpster;Site Work Permit far subdivisions/largo projects <br /> COMMERCIAI Attach(3)complete sets of Building Plans plus a life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 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 required for all NEW construcdon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over i2500,a Nottce of Commencement Is required. (A!C upgrades over s7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />