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913-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �- �� � � � 3 ��g _ g 7S, p <br /> Phone Contact fo�Permittfn <br /> ^ Owners Name � �� Z Owner Phone Numbe� <br /> r l����2 r zeP i�� ��s Fc. <br /> Owner's Address � �^'1 ti-�'� �-b � 3 5yZ pw�er Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> � JOB ADDRESS ���Z ����r �v,e c� �lr �,:'�,S (=1 • 3'>S�Z. LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> �� (OBTAINED PROOM pROPERTY T�rice)DEMOLISH <br /> WORK PROP03ED e NEW CONSTR� ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> �TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> piDESCRIPTION OF WOR �}� CD }' 'n l;n,I ✓l �i e-�^T `f -r l���`�'1 � IK�( ��B^� COO �j- <br /> BUILDING 51ZE � 3Q FOOTAGE� HEIGHT �� <br /> �QBUILDING S � ��� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICA _��� <br /> 0 � $ VALUATION OF MECHANICAL INSTALLATION J��1,� <br /> C v � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � J <br /> � <br /> /_. <br /> i ILDER COMPANY t'►1� �Cvn C.� <br /> SIGNATURE REG�STERED 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 CURREP Y/N <br /> Address License# �— —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 Forms;R-O-W Permit for new constructian, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Fadlities 8�1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilfties&1 dumpster.Site Work Permit for al�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 /> Direct(ons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over 57500) <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 PERMI7TING (Front of AppBcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />