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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department �� <br /> �L./�^ /' <br /> Date Received � I � r � Phone Contact for Permittin � j� �j _ (�5� � <br /> � <br /> Owner's Name �c r-� ^ .— Owner Phone Number dl 3" 7/ -aa 7 <br /> Owner's Address C� D G�� �C. �wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� O c�r �� �j, IS J 5 ��-� LOT# �� <br /> SUBDIVISION PARCEL ID# —{�j' -p�-� _�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK GE'G� S [>(�I�`n�(/G � -� �i L£-� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> BUILDING $ � /' � VALUATION OF TOTAL CONSTRUCTION <br /> (o <br /> QELECTRICAL $ AMP SERVICE 0 C PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /��' ~�'`�� �v� <br /> �__.�--..:..-'-�.�c__ �i�'�"`� <br /> _ . � �� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION j/� <br /> � f � <br /> QGAS Q ROOFING Q SPECIALN Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , 6n a r" <br /> ,�� } <br /> � ,�J J <br /> BUILDER • � ��' COMPANY U�/ i � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address C� � �- � 33�/U License# C_(�l� � j <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 REGISTERE� 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 Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciflUes 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 Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Eng(neered Plans. <br /> """PROPERTY SURVEY required for ail NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appNcatlon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the ovmer)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 />