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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �, �Gr / /G C u <br /> Phone Contact for Permittin� � �� p <br /> T fT-1-�Tf- -��--r-� <br /> Owner's Name L(, �lrL� Owner Phone Number �,/-,s s <br /> Owner's Address � ��{� L(,�,//� �/'�(/' ��- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �y� LQr�,U V�y^ � LOT# �� <br /> SUBDIVISION �I � (/� PARCEL ID# ,/S-� l-a�- ('Q — ODOpU--U/p0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK 7U� O� ��'���( � (f�(j g (_ ((�" �� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT `�d ! ��� d�yu-J� <br /> �T <br /> �BUILDING $ ,nN (' '� VALUATION OF TOTAL CONSTRUCTION <br /> liLJ`--� <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ ' <br /> ����� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING � SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> �'-F-1-1-'.--i�'�--'�T'-��: i �,'--C�'-���'-'-'.--T--ri-i�r4-1-�1-:--ri-T�.--�-�-r-'r-'�' i-���-�-i � <br /> BUILDER COMPANY �aG�f <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y!N <br /> Address License# -� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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 CURREN Y/N <br /> Address License# r- <br /> IIIIIIIIIIIIIIIIIIIIIIIIIillllllllllltlllllllllillllllllillllllllll <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 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 /> �{�I�I�I���I�I�I�L��I�L��4:w�i�C��'�"�i�iT'��'�� .�� � � � � � � � � � ���T�����i..'^'w' '�' <br /> Directions: <br /> Fill out appiication completely <br /> Owner&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 shingies Sewers Service Upgrades A/C Fe�PIoUSurvev/Footaqe) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />