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813-78�-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � - Phone Contact for Permittin � �-J v°�- __ � a 3� <br /> Owner's Name cf,a�£� �- ��t0�- J f• F3�.�'(�a! - $02 � <br /> Owner Phone Number J <br /> Owners Address �'.S.S� 7EA,L � 7-�.�H7/�'ry��-� `�L Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee 3imple Titieholder Address <br /> JOB ADDRESS 6.� "�� A C � Z�- P N ��j[.L.S F L ;�35'yG Z- LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VYORK PROPOSED B NEW CONSTR[�, ADD/AL7 � SIGN Q Q DEMOLISH <br /> INSTALL Q REPAIR <br /> PROPOSED USE � SFR [] COMM [—� OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK F�- PL LI � /h/C w� � v �'"�f , ` <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ' . <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGjESfrENERG'�-- _... �\W.R.E.C. <br /> ::�/— <br /> OPLUMBING $ " � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL I . /j��� <br /> f ��.` <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER Y �v��� �1�� COMPANY Dv✓n � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRiCIAN COMPANY <br /> SIGNATURE ReGisrERe� 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 FoRns;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 Facllities 8�1 dumpster;Site Work Permit for subdivisionsllarge 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 te�(10)working days after submittal date. Required onsite,Constructfon Pians,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 consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor}or Power of Attomey(for the ovmer)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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />