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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received L/ � __ 7��O <br /> Phone Contact for Permittin � <br /> � <br /> Owner's Name U�GG Owner Phone Number .S/�- 9,� — 7 <br /> Owner's Address (/Ej�. L "� Owner Phone Number <br /> Fee Simple Tftleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3D /.)C7�J� �OT# f�� <br /> SUBDIVISION � � [( ' � [5�47t.�oZ PARCEL ID# �5-�o�I��DS�--�Q--/��C� <br /> (OBTAINED FR�OM PROPERTY TO riCE)DEMOLISH <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [_] SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF C�NSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK T�Y2 F � pQ !�/T,�/ �' F �rr�t/an/ � L,C,` <br /> BUILDING SIZE �--� gQ FOOTAGE�L oo HEIGHT �� <br /> QBUILDING $ rlvl � VALUATION OF TOTAL CONSTRUCTION <br /> CJ(J <br /> QELECTRICAL � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� ( <br /> OGAS � ROOFING Q SPECIALTY � OTHER ( a�� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# �_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � c�"�/ COMPANY �PL�C�N G�� l•UC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o 1�7 / � � S / � ��-fa License# I..CLO�{�,3 7C� � <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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit 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 all new projects.All comme�cial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for ali NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,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 owner)woutd 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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />