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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � J phone Contact for Permittin O�� I O � <br /> Owner's Name �,!I YY1 Owner Phone Number a/3��7 /"3'S,c3 <br /> Owne1's Address 3SS� �S Z�"/ �pwner Phone Number <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��0� K/4 I�R�G �7J� LOT# .3Slp <br /> SUBDIVISION /�Mi /7f�/L/�I� ppRCEL IDN 3��aT a�'d�p�-Ua�` 3S�L <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED B NEW CONSiR 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 � STEEL Q <br /> DESCRIPTION OF WORK //JEi /SF � ^( � � �C ��/ �VE�� <br /> BUILDING SIZE S�FOOTAGE I�>o� HEIGHT / <br /> �BUILDING S� p� QD VALUATION OF TOTAL CONSTRUCTION <br /> �l.�/ <br /> ELECTRICAL $ Qp AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ , I � �� ^ n <br /> d f' � V <br /> MECHANICAL � � <br /> Q $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> \ �/ <br /> BUILDER - COMPANY `�!' (Ji�/S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � / /�� License# c.(/,��]] <br /> ELECTRICIAN �COMPANY /� �/L TjJil! ��� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address � Q Q./1 ✓ / License# _� (iLJLJ��C!!-� I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address � <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit far subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days sfter submiltal date. Required onsite,ConsWCtion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit 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 construction <br /> Directions: <br /> Fill out application completely <br /> Owner&Contrador sign back of application,notarized <br /> If over f2500,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 ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter iT on public roadways.needs ROW <br />