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813-780-0020 �ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��� <br /> Phone Contact for Permittin �"��.,� �p __ <br /> Owner's Name / �" � O� �� �-t'L i �( �'j Owner Phone Number I 3 - �G� -GG��( ?j,f�(� <br /> Owner's Address Owner Phone Number ��3 - � �� S � 7 Q <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��/�-% S/�?-�j vti5 !� �/�}-�/����jf£r�/ � � ;Sl� LOT# �� <br /> SUBDIVISION PARCEL ID# � ��1�f�� ��2�6C� �Q _ <br /> C� (OBTAINED FR�OM pROPERTY T�'ricE)DEMOLISN <br /> VMORK PROPOSED NEW CONSTR ADD/ALT SIGN <br /> INSTALL 8 REPAIR <br /> IPROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK � �� �`J�,�-{�{L ✓J-7�� /r�1/!� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � r <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION � ?�,� `U <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY [� W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(�C� <br /> i; <br /> C]GAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES NO <br /> BUILDER �' COMPANY v � � `�K/��- <br /> SIGNATURE --� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> EI.ECTRICIAN 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 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 Facflities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Woric 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 /> ,,,�������„��,������������� <br /> �+-�a�a+��1�1 J Il <br /> Directtons. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation 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 />