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813-780-002Q City of Zephyrhills Permit Application FaX-a���-�so-ooz� <br /> Building Department <br /> Date Received I� � �� f -��� ��� ���5_ <br /> Phone Contact for Permi n ' <br /> Owner's Name � r "� S 1� '�' �" <br /> Owner Phone Number " <br /> i - _..�. �.._ _ <br /> Owner's Address f 3� ,5c j � i --�._____ ... _•-_-.._-- <br /> Owner Phone Number � �� -( � '�,l�p�� <br /> Fee Simple Titleholder Name �'"'� ` � ��.� <br /> Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> J08 ADDRESS �� � � <br /> LOT# <br /> SUBDIVISION S� � � I PARCEL ID# ��1'-'vZ�O�o�� °(j �(�(�l '��7Qp� -(���� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1MORK PROPOSED B NEW CONS7R ADD/ALT C� SIGN Q � DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHE <br /> TIPE OF CONSTRUCTION Q BLOCK �] FRAME � STEEL [� <br /> DESCRIPTION OF WORK �C( (�'1 d� � i C(� • � �, �� � e� � <br /> BUILDING SIZE �x � �a3 SQ FOOTAGE�� HEIGHT � � ! <br /> �J <br /> BUILDING <br /> $ f� ��b - U�' VALUATION OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ AMP SERVICE <br /> � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ ���� <br /> VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ROOFING CJ° �U <br /> O Q SPECIALN � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA l.� 1 � <br /> [�]YES NO � ( � � <br /> I <br /> __� <br /> BUILDER � � ' ' ��� i COMPANY ��rn l �1'� ��v%'Yl(i�Um T , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address .� � �� �� f rJ � � � � <br /> License# C, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdivislonsflarge 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construcUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> *. If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) <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 Applicatlon 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 />