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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 Permittin -- <br /> Owner's Name �r ��' L l` �L t= J�p�J�1 Owner Phone Number 0�.�'� � 0 2' ����- <br /> Owner's Address vCli ►� ��r I'(, Sfi � �J�rl I �.�(Owner Phone Number �13 �3������1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tftleholder Addresa <br /> JOB ADDRESS � ��� �S� 2 � r h��� S, �-r 33s��- LOT# �3� <br /> SUBDIVISION �— � PARCEL ID# 03 -2 i�- �l -oz�a -c� - �3co <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED B N TALLSTR� REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 7 �� �oW C R L'f'L S�P C3 <br /> BUILDING SIZE �/C, L^ � 3Q FOOTAGE ��� HEIGHT <br /> OBUILDING $ /�C� � C� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> [�ELECTRICAL $ —� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> l2'a n,�� <br /> [�]PLUMBING $ — <br /> ��c�� ���f ��� <br /> [�]MECHANICAL $���, � VALUATION OF MECHANICAL INSTALLATION + <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �— FLOOD ZONE AREA QYES NO <br /> . <br /> .L C. `� <br /> BUILDER COMPANY � �,� <br /> SIGNATURE � REGISTERED Y/ FEE CURREA Y <br /> Address b 14� L Sl D 5 � �C S 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 I N <br /> Address License# r— <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,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCl/#L 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 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appflcation,notartzed <br /> if over s2500,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 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 />