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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 8�3 �T�P � �3� <br /> � � �/ Phone Contact for Permittin <br /> Owner's Name Cl.��G'. �4/!' �er � �' Owner Phone Number / --- 97� <br /> Owner's Address .�y7lv /«,f'e�jCw �� �a-f;/f��� � p�er Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �— —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/�� f�� � Z+% �j r�(�l� �G 33,�yZ LOT# �� <br /> SUBDIVISION ��f Z iL �� PARCEL ID# �/��-�/-�QO/B� �?d�p-d�5"p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 DD/AL C� SIGN � � DEMOLISH <br /> INSTALL EP <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK J C D .le � �/- J'��? L�E /��-a�•G // <br /> fy <br /> BUILDING S12E SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ � <br /> �� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> � ?v\i�\ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,'(►j� �r-��.b'�+� �`/`�"/�� <br /> � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY Q Q, /'S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# v����o —� <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 /> StGNATURE REGISTERED Y/ N FEE CURRE� Y I 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,ConstrucGon Plans,Stormwrater Pla�s w/Silt Fencs in�talled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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. Required 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 compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directfons: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,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 notari2ed letter from owner authorizing same <br /> OVER THE CbUNTER PERMITTING (Front of ApplicaUon Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Ccaunter if on public roadways..needs ROW <br />