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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date R�ceived Phone Contact for Permittin � �f __ / <br /> Owner's Name ! /}SC P�.,l te�-- Owner Phone Number � "'�/� <br /> Owners Address �B,SQ y Owner Phone Number � —� <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7� D D��`R- /�s- LOT# C� <br /> SUBDIVISION PARCEL ID# 3s" L s" L 1 -� d d/ D —Oq �Q d --oa a G <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADDlALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL O <br /> DESCRIPTION OF WORK � (� ,S T6 �O� <br /> BUILDING SIZE �---1 $q FOOTAGE� HEIGHT <br /> QBUILDING $ Y s o OQ VALUATION OF TOTAL CONSTRUCTION <br /> O � <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ���� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �/-�( � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �, r_ COMPANY IeNi� �Q�6p�L /Yl i9�3qw L.J, L <br /> SIGNATURE �l � ��p G�uYl� /�pµ/ 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 REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# r— � <br /> OTNER 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,Construction Plans,StoRnwater Plans wl Silt Fence installed, <br /> Sanitary Facllities&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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Site Wor1c 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 construcUon. <br /> Directtons: <br /> Fill aut application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgradea 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />