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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pertniltin �J 7 d'- - IQ�P y� <br /> OwnersName /��i�/� //�,�h`i OwnerPhoneNumber /O/�p /�' /07�7 <br /> Owners Address 6 9 ���ir,»�I- et( .�r� ,3/`\ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J 8O� p`i u�1L/ � (�(�E I{�� L07# C� <br /> SUBDIVISION /��/� �$TJC (.S PARCEL IDp o"�"o1V"p7���QQ-��00-(�'f�� <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B NEW CONS7R B ADDlALT � SIGN 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 C�' � ��h(;J Q W 1 pM <br /> BUILDING SIZE �Q�/��� ��� � SQ FOOTAGE �S�• HEIGHT C� <br /> BUILDING $�/��D O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � � � ^� ,r' <br /> '� l <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I <br /> QGAS � ROOFING O SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � �COMPANY `�/l ONS%IGCLe77O/Y --� <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address Q� » �2 j/S�,di[� � � / � License# C:L��C�s77Cj� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> license# <br /> MECHANICAL COMPANY �- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> I111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1 j set of Energy Fortns;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 subdivisions/large projects <br /> COMMERCIAL Attach(3)complele 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 Pla�s 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 /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requfred. (NC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized lelter 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 neetls ROW <br />