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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' Phone Contact for Permittin -- <br /> Owner's Name � ` `� ��5 Owner Phone Number �t%�` ��` �L��S <br /> Owner's Address � ��►'�' -3T1� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number C PASCO PERMIT SE E <br /> FAX 1-866-824- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS y�ll ��1�C � f F� LOTl� �d/ <br /> SUBDIVISION C�����r ��Lti 'm1I � PARCEL ID# �—aS—�bZ� d�aO—(��—/O�v <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED � NEW CONSTtt B ADD/ALT Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER UYl') Vk,� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �U� 1�l`?C1) �� -Ytl�v IC1 Y� LC1�)'� i�(i1�7�j , �4�1� <br /> BUILDING SIZE �J� x � �'�J SQ FOOTAGE ��� HEIGHT �_� <br /> OBUILDING $ � L/ ,��� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> OELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ �(� G' <br /> �(� l <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '%� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> d � <br /> BUILDER � , COMPANY `'� r lr'm1�V►�1 <br /> SIGNATURE � � 2"�'ti�I REGIS e Y! N FEE CURRE� Y/N <br /> Address �`��� I��' �h Z� � rh,'� License# ��� ���yy y <br /> ELECTRICIAN t P NY � 1 YI4-I��I�'�. ��L°.0 i rcG <br /> SIGNATURE .�'� 'Zv 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 <br /> SIGNATURE REGISTERED Y! N FEE CURREP Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary FadliHes 8 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 Pertnit for new constructfon. <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 /> Direct(ons: <br /> Fill out applicatfon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over ST500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />