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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittfn ��� 7��- --S'`� �",�. <br /> Owner's Name �f+/r�f S' �'t c�l'i��� Owner Phone Number <br /> Owner's Address ��rc/C� �� i�,/ �-/l�< Owner Phone Number � <br /> Fee Simple Titleholder Name -1 Owner Phone Number � <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS ���l C' I� T�� ,f� G� L, LOT# L� <br /> SUBDIVISION PARCEL ID# ,` -' 2� ° Z/ � �U l c.) -= =� j�l:'J --��r�G� <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER �- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � 7` � ���F�%/�� L /,�1.� !� <br /> BUILDING SIZE 3Q FOOTAGE / C G HEIGHT �] <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ��3 G� c� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER / t COMPANY � C v �E 1�/C:L <' t.; i �t.i C <br /> SIGNATURE ��—{ W,� —z_ REGISTERED Y N FEE CURRE� N <br /> Address �,�� G r/i S i License# C � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# C � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflitles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects ' <br /> COMMERCIAL Attach(3)complete sets of Building Pfans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permft for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered Plans. <br /> •`"'PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlons: <br /> Fill out appllcation completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (AIC upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter hom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) . <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />