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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bufiding Department <br /> Date Received � - 3 � —/ Phone Contact for Permittin �'/ � '-�,�� <br /> Owner's Name t„� s'"`C �5����i�� S Owner Phone Number 5 � r��'� ��S� -��� 3 <br /> Owner's Address 3� � ���� /7"`Z�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -� " ' ., L��4�L_/tsl� �t� LOT# 1�(: <br /> SUBDIVISION (,���D �C��jGG�� PARCEL ID# ���- ._S ' ..7� "C•C?('L�C.1 � /�(�.C�! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTFi� ADD/ALT Q SIGN Q [] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ICC'C7' C'4'C/"' �����`)� tt !i'i� f�:���i . �r°/«� /��'�'0 / ���� <br /> BUILDING SIZE � SQ FOOTAGE �7�.� HEIGHT �� <br /> QBUILDING $ -- �, 1� VALUATION OF TOTAL CONSTRUCTION <br /> l (j C� �i V <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ��q� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> / � � <br /> OTHER �%Y'.re-+%��/ . �„f � COMPANY �1����C��''�`���/`��n��''�f <br /> SIGNATURE � � �`{�~ REGISTERED Y/ N FEE CURREP Y 1 N <br /> Address p��� -v� +'<C '��- zdj, �`S ` ��'�yC License# �'L Cl�y/ ��G <br /> RESIDENTIAL Attach(2)Plot Pians;(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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflitles 8�1 dumpster;Site Work Permit for subdivisio�sAarge projects <br /> COMMERCIA� 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 Facilitfes 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nota�ized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over a7500) <br /> "" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notaNzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />