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813-780-0020 City of Zephyrhills Permit Application Fax-�313-780-0021 <br /> Building Department <br /> Date Received �' � 2'�� Phone Contact for Pertnittin I 7 — �D� <br /> T <br /> c <br /> Owners Name \�. �C Owner Phone Number <br /> � 1 _�� �� <br /> Owner's Address �� (� Iw`f� nC�_ V L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 1"�l��� LOT# [I�O <br /> SUBDIVISION l.((��[� ' �ir'lZ��� PARCEL IDA 34-a s-ai^Q�q a 'Dva�+� '"' � �� <br /> (OBTAINED FROM PROPERTV TAl(NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN � Q DEMCILISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q �� <br /> DESCRIPTIONOFWORK ��hJ«� CaSD��C'T �1J U��GL � <br /> BUILDINC SI2E � SQ FOOTAGE ���'�✓ HEIGHT � <br /> BUILDING $ � Q VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ p� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ j t h��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ��,� `� � <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER • •�.1 � • �OMPANY• �• •�.ST•C�� • • • •�'� <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y/N <br /> Address 7 �!�/1/Z�.s / ��� License# I��7a� <br /> ,i1� M i c <br /> ELECTRICIAN LCOMPANY 1�1 pC'Tfl� [I��, � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address V�1� � � License# L� ���[ J�J I <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �—� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# �� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Fortns;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building 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 submirial date. Required onsite,Construction Plans,Stortnwater 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 construdion. <br /> Dfrections:• <br /> Fill aut apphcation completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C 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 if shingles Sewers Service Upgrades A/C Fences(PIOUSurveylFootage) <br /> Driveways-NOt over Counter if on public roadways..needs ROW <br />