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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittl� _ <br /> Owner's Name -� �-!/ �eCT/"G Owner Phone Number �� Co.�J",,����� <br /> Owner's Address �-�vy perr OT (�� Owner Phone Number —1 <br /> Fee Simple Titleholder Name Owner Phone Number --� <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS U� �7 �e1"/ D�'" (.ft� LOT# a�/ <br /> SUBDIVISION �d '�� �pARCEL ID# �J'-�6�dG�O-� �Q�(,�- �,�(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT C� SIGN � Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 7�-� dCOlV/l �Q�Y�ff L(t�J(�� -. Gc.�I �Q(� {�-�.Qh, ��_/ /�Q/) <br /> aGLT- <br /> BUILDING S12E �d X�d-' 'i � SQ FOOTAGE s�g <br /> HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ' <br /> � , �,.. <br /> �MECHANICAL �� ` <br /> $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS f i ��J <br /> Q ROOFING Q SPECIALTY � OTHER ' ` � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � �COMP NY Je�' � l <br /> SIGNATURE �� °, REGISTERED Y/ N FEE URRE� (�J <br /> Addregsr� c�S— /�'��?' D7 �(�2 2 �- �• <br /> License# <br /> ELECTRICIAN . !�,'c-�C iG�CO ANY �W�/' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres � License# <br /> L'>� <br /> PLUMBER , � COMPANY d ��'" <br /> SIGNATURE -dl REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres f�e License# � <br /> MECHANICAL �CO PANY l�C�1/� r <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres 4.� [�O(J�l-° 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,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)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 instalied, <br /> 5anitary 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;2500,a Notice of Commencement is requfred. (A/C upgrades over 57500) <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 shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW - <br />