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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department P*.500 PERMITi�3�i�ib''!�� <br /> (813)78g-5314 <br /> Date Received �/o _`.3 �,.7� <br /> Phone Contact for Permittin _ <br /> Owner's Name ��-�/ � Owner Phone Number ��3-' �/s ���� <br /> Owner's Address � �-7.3 ��`J �- Owner Phone Number � <br /> Fee Simple Titleholder Name . Owner Phone Number � —1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS So2-7.� J ' " - � �Q� LOT# �� � �/ <br /> SUBDIVISION 6� /' , PARCEL ID# !/-��/-Ud/d-/3/� �d� <br /> (OBTAINED FO pROPERTY T�TiCe)DEMOLISH <br /> WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN <br /> INSTALL B REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �--lO D�UL°/' � C <br /> BUILDING SIZE �� X c�a—' 3Q FOOTAGE �/6 / HEIGHT � <br /> �BUILDING <br /> $3, �f'� � VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ T� <br /> ����5 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> f <br /> BUILDER � �� � � COMPANY �/1/`J' _ ..L//C - <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �2 y�r4_ /��/! � `^ � � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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)worlcing 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 /> Mlnimum 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 ail 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 requl�ed. (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 />