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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department , <br /> ���A-j'C�f� <br /> Date Received Phone Contact for Permittin � Z <br /> �� TI Tl l r <br /> / ' n (( ��� Owner's Name Owner Phone Number ' �I 0�� <br /> t�/ Ie T�(..�� <br /> 1 ,e.y� �.ls Owner's Address Owner Phone Number <br /> S' �V�� ��r�� � <br /> � u-��� �1�ree Simple Titleholder Name Owner Phone Number <br /> `b�G� -�k-� ��p,��`j� <br /> �dJ'� ��" � Fee Simple Titleholder Address <br /> `3���(�T � JOB ADDRESS ��Q 4�u 3LU�D � ��l S T LOT q � <br /> C 3�(p� SUBDIVISION PARCEL ID# <br /> ''� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ���� Gs��O p�T(Q/J Z(�J� <br /> 5 � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> o ' ���'v <br /> '�BUILDING $ D Os VALUATION OF TOTAL CONSTRUCTION � <br /> QELECTRICAL $ AMPSERVICE � PRO��ENER� � W.R.E.C. ��� <br /> QPLUMBING $ 141,y �� <br /> «�y s <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'7, ��/ , � <br /> //// l�` <br /> l../ � <br /> QGAS Q ROOFING Q SPECIALN � OTHER C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �U� <br /> � <br /> A• <br /> BUILDER ��� COMPANY � � � 9...� Y�/ <br /> SIGNATURE REGISTERED Y I N FEE CURREI. Y/N <br /> Address �icense# (./�(� � �C/ ��n <br /> ELECTRICIAN COM PANY � <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y I 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 aker submittal date. Required onsite,Construction Plans,Stortnwater 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 Fortns.R-O-W Pertnit for new construdion. <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 construction. <br /> DirecNOns:• <br /> Fill out applicaGon completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized leKer 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 />