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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contactfor Permittin � 0� S - ) 7 2 s z <br /> Owner's Name <br /> S/E..f S u�j C. Owner Phone Number �c� -" �7 j�_T Z�o <br /> OwnersAddress � �' � /U� �41 �� ►`t-�;Sl�p OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��} . C h r fr-L "4 Z LOT S �� <br /> SUBDIVISION � "N PARCELIDiF L���Z-�"2�� U"vUL��"����U <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK qC.1y � D f �q+�'P >�Z{ FL� J �1�7� <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT �� <br /> �BUILDING $ �f,��1vC VALUATIONOFTOTAICONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER <br /> !� �' COMPANY ��PI'It{rL �/P+Gti� C (�Yti 1A <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address 1 �i License# D <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y I 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 I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> I111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-o-W Pertnit for new consWdion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stortnwater Plans wl Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Pertnk for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpsler Site Work Pertnit 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 /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back M application,notarized <br /> If over 52500,a Nodce of Commencement is required. (A/C upgrodes over 57500) <br /> •• Agenl(for the conVactor)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'rf shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />