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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � <br /> �' � � Phone Contact for Permittin 6( �7 — � <br /> Owner's Name �Qr�u� �f I L.'� Owner Phone Number y D(s'� 3��'� �Q <br /> Owner's Address �l.r� r 1 �� Z'�'�1��5 Owner Phone Number ���—� j C�D h vr� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��"I ''�� /����- LOT# � <br /> SUBDIVISION PARCEL ID# 11-�-(�-a -�U���- t c��c�-c�5 5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �i/2 hG-tiNI f IQ� ej� ` <br /> BUILDING SIZE �--� SQ FOOTAGE HEIGHT <br /> OBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> f.. <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENER �Q W.R.E,C. <br /> �PLUMBING $ ��� <br /> �IfAECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> ��[�', <br /> QGAS Q ROOFING Q SPECIALTY 0 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# —� <br /> ELECTRICIAN � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> MECHANICAL COMPANY ./-tI . T�CN �{ZU C ES �� ��SCU <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��p �X 1� Z�PH t2�1 l.5 �� �3� License# ��� �`� ��J��� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wortcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster;Site Work 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&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 construction. <br /> Dlrectfons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over:2500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 PERMIITING (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 />