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' 813-780=0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 8uilding Department <br /> �l <br /> Date Received Phone Contact for Permitting { � __ � (� <br /> r � � r � ry � r � � � � <br /> Qwner's Name � ��wner Phone Number <br /> Owner's Address a3lo �M r' �`�f Owner Phone Number ��� <br /> Fee Simple Titleholder Name ��} � �' �� Owner Phone Number C� � <br /> Fee Simple Titleholder Address � <br /> JOB ADORESS z /`�i� 1- L�]T�! ����� <br /> ___.._._.........�... <br /> SUBDIVISI�N rn PARCELID# �`-1-��L�-��([Q•��Q-��Q � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> W�RK PR�P�SED � NEW CONSTR 8 ADDlALT � SIGN Q � DEMOLISH <br /> INSTALL REPAfR <br /> o t�'� C� rc��.� <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE DF CONSTRUCTION � BLOCK Q FRAME � STEEL Q � u� <br /> DESCWPTION�F WORK � <br /> BUILDING SIZE SQ F�OTAGE C� HEIGHT `Ntil>✓j �KZ.�.L.IK� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ i _ AMP SERVICE [� PROGRESS ENERGY Q W.R.E C <br /> ��" �(/ <br /> �PLUMBING $ ��� �(/ <br /> �MECHANICAL $ 1,Q a � VALUATION OF MECHANICAL INSTALLATION <br /> � � <br /> � <br /> QGAS � ROOFING Q SPECIALTY � OTHER /�/��i8 3 <br /> FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA �YES NO , � G� <br /> G� 2� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED '^Y J N FEE CURREh —[Y!N <br /> Address License# �� _ <br /> ELECTRICIAN /\ � ``���o COMPANY �f�,C�JQ,H �!��c�l c-Yd. b E'TJ , <br /> /J > <br /> SIGNATURE v I�'�L�(/""' � REGISTERED Y I N FEE CURRE� Y I N <br /> Address �,� �,�(/�'e�E.�en License# rCr(Jd��_�Z . <br /> PLUMBER ��� COMPANY Tmm <br /> SIGNATURE REGISTERED Y I N FEE CURREh Y I N <br /> Address License# �� <br /> MECHANICAL � C�MPANY }�,V �L�-L�� � <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y J N <br /> Address License# .�� � <br /> OTHER CO M PANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y I N <br /> Address License# � <br /> IIIIt1111111111111111111111111111ff11111111111111111f111Nllllllf111 <br /> RESIDENTIAL Attach (2}Plot Plans, (2)sets of 8uilding Plans, (t}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 subdivisionsllarge 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 nevv construction <br /> Minimum ten(10}working days after submittal date Required onsite,Construction Plans,Stormwater Ptans wl Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster Site Work Permit for all new projects All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach (2)sets of Engineered Plans <br /> ""'"PROPERTY SURVEY required for all NEW construction <br /> Directions:• <br /> Fill out applicatfon completely <br /> Owner&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 Attorney{for the owner}would be someone v�nth notarized letterfrom owner authorizing same <br /> OVERTHE COUNTER PERMITTING {Front of Application Only} <br /> Reroofs if shingles Sewers Service Upgrades NC Fences(PIoUSurveylFootage) <br /> Drfveways-Not over Counter if on public roadways needs ROW <br />