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813-780-0020 City of Zephyrhills Permit Application Ft3x-813-780-0021 <br /> Building Department <br /> Date Received 4. ` - � <br /> Tr�_�_� Phone Contact for Permittin ( <br /> ^-- <br /> Owner's Name �ZQ�$. Owner Phone Number q 5. � <br /> Owners Address UC .gC g�j , PjQ .�I��j �� J0� Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> J08ADDRESS ��� � ��� � � hl��$ -�.33��a LOT# � <br /> SUBDIVISION PARCELID# ��-ab-��-OD)o° i�lAo-c�,�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR D/AL � SIGN Q � DEtiIOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR n �� � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �� <br /> DESCRIPTION OF WORK icQY1� � �, �m� � — � <br /> BUILDING SIZE SQ FOOTAGE`-'Y---�J HEIGHT <br /> Q�BUILDING R��, $�c�� OQ VALUATION OF TOTAL CONSTRUCTION <br /> T� <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL ���i' � " <br /> � $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS �- R�p� � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER A` , COMPANY ��/� ,�j/s�"�JJS � <br /> SIGNATURE C!H REGISTERED Y/ N FEE RRE� Y I N � <br /> Address J1/+/�/) �O' y� <br /> License# �/L G �,� b. <br /> ELECTRICIAN COM PANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y!N � <br /> Address License# �� <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/ N FEE CURRE� Y/N � <br /> Address License# � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submitlal dale. 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 Safety 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,Stortnwater Plans w/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 application completely <br /> Owner R Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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'rf on public roadways..needs ROW <br />