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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Buflding Department <br /> c <br /> Date Received Phone Contact for Permfttin �� � Cv,2, -- �j�`j�3 <br /> Owner's Name l"" /n . � � Owner Phone Number �"' �d d• J'��p� <br /> Owner's Address �d �5l ��E! L,/V Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address —� <br /> JOB ADDRESS �S G II�L �, LOT� � <br /> SUBDIVISION (1 � PARCEL ID� �� �� � Da3o oo� d 8� <br /> (OBT/UNED FR�OM pROPERTY��ricel DEMOLISH <br /> WORK PROPOSED B NEW CONSTR�ADD/ALT [� SIGN <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK GtiL-°/1� l�,Ce � L�- TO/�f /�C �' �j�"e/n � �..1 <br /> � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � <br /> o , f���r� <br /> MECHANICAL $ �jD��' Q� VALUATION OF MECHANICAL INSTALLATION � <br /> 7 <br /> OGAS 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 /> Address License# C � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL G��� COMPANY �I`�/�i�/�S �oP•9-Ne �` ��C _TN�i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7��/ �" E'/V � � —� 3� License# �� 7�/�rl � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles&1 dumpster;Site WoNc Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 required for all NEW consUuctlon. <br /> Directions: <br /> Fill out applicatfon completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over 52500,a Noti¢e of Commencement is requlred. (A/C upgrades over 57500) <br /> " Agent(for the conbactor)or Power ot 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 if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />