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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received �� �C 3 Phone Contact for Permittin �7 z � S/7 -- y�j,� <br /> Owner's Name l �Si C,t e o v� C��n,m�.z.• ��,r�,���(,f.,j Owner Phone Number O /.3' .S ��/3i <br /> Owner's Address � �7 (�(p �j � „.�ti- ""( `3 7 (oa. pyy�er Phone Number <br /> Fee Simple Titleholder Name \ Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS �9� \� �2C,c��r�%UCc� �oo LOT# �� <br /> SUBDNISION ►'leCclJ�.JCYJCJ! �����5 PARCEL ID# I3't��o- ��- DI�{O r (�Op O ' d(o�rD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> , <br /> DESCRIPTION OF WORK �c�p�e ;;�� �,� ,n Q\ -Y, i,��{,� �� J��� �� e,,, <br /> BUILDING SIZE �--� SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> `�ECTRICAL $ .� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> . a y� <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ___ ReGISrERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN _ COMPANY /'��� ��`c �L.� <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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 /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster;Site Wo�lc Permit for subdivisionsAarge 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 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 constructlon. <br /> Directions: <br /> Fili out applicatfon completely. <br /> Ovmer&Contractor sign back of app8cation,notarized <br /> If over t2500,a Notice of Commencement is required. (A/C upgrades over=T500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer 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 />