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' � 813-780-0020 City of Zephyrhills Permit Application Fau-813-780-0021 <br /> Budding Department <br /> Date Received Phone Contact for Permittin �3 ��a' — �� + <br /> Z-rlT <br /> 1 ���Owner's Name � '7' Owner PFfone Number " <br /> Owners Address 7 y' �� Owner Phone Number �� <br /> Fee Simple Titleholder Name � Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 3Z �F � lJ'Ci LOT A � f'S� <br /> SUBDIVISION � PARCEL ID8 O3��i���"D��D—�'�C�'�� <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 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 ; (le � <br /> BUILDING SIZE C)/`��l� SQ FOOTAGE I�S HEIGHT � <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � . <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - lyi ���'��jl� <br /> �; ( <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES NO <br /> BUILDER � �COMPANY �'17 CA(1STrl�T'1.61�1 � <br /> SIGNATURE REGISTERED Y! N FEE CURREf. Y/N <br /> Address �5 )Dl'I'r r/ � Z/�l� �icense# C�lJJr���'ol� I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# �� <br /> PLUMBER � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# �� <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N PEE 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-0-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 Buildmg Plans plus a Lde 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,Stortnwater Plans w/Sik Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects All commercial requirements must meet comphance <br /> SIGN PERMIT Attach(2)sets of Engineered Pla�s. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner&CoMrector sign back of application,notanzed <br /> If over s2500,a Notice of Commencement is required. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Atlorney(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 shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> Oriveways-Not over Counter if on public roadways needs ROW <br />