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�813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec��ived �_��./ � � -- � 1 � l <br /> Phone Contact for Permittin <br /> Owner's Mame � r r c �.Gi, S Owner Phone Number <br /> Owner's Address � Z c-� � . , /-� �� L-vl,� (5 Ovvner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS LOT� C� <br /> SUBDIVISION PARCEL ID# 1..3 ' Z ' 2� ' L� ( (�� _d6tj O D . c�l�a <br /> ,,{{�� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VVORK PROP03ED B NEW CONSTR I �1 ADD/ALT �� SIGN O � DEMOLISH <br /> INSTALL �' REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK D� ��� �� I � -�-�„�� , � k - �' �i� M�,j � <br /> r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ � a� VALUATION OF TOTAL CONSTRUCTION <br /> [_]ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �1/ u� q�(,,, <br /> � r � �� � �,- <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C� <br /> �V <br /> �GAS Q ROOFING [� SPECIALTY 0 OTHER I C� � <br /> FINiSHED FLOOR ELEVATIONS � �fj'I � S <br /> FLOOD ZONE AREA �YES NO �� � <br /> BUILDER - COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE „ RECisreReo Y/ N FEE CURRE� Y J 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 i License# (,�L ` <br /> OTHER � t <br /> _ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i ��- P �� <br /> Address ,� 2�p 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdiv(sionsllarge 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 constructi�i. <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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement(s required. (AIC upgrades over ET500) <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 />