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� 813-780-OQ20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name �tJ a��' lo-n.-z!'� t'��. IJG-( • . -- <br /> Owner Phone Number � ��j �� <br /> Owner's AddresS T O ��, � , � <br /> �'1• Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �',4Uf (-----, <br /> LOT# �____J <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED NEW CONSTR ADD/ALT �� SIGN <br /> e INSTALL 8 REPAIR 0 0 DEMOLISH <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK �� .Jj/'� �'� /V S [�'C i ���� <br /> BUILDING SIZE SQ FOOTAGE[--� <br /> HEIGHT �� <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL ,� }AMP SERVICE <br /> �� , [� PROGRESS ENERGY O W.R.E.C. <br /> QPLUMBING $ ''� <br /> F <br /> OMECHANICAL $ �� /� <br /> VALUATION OF MECHANICAL INSTALLAT N <br /> � ��"' <br /> [�GAS Q ROOFING [� SPECIALTY [� OTHER L <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� / �L /�� 3� <br /> License# <br /> ELECTRICIAN � COMPANY � �f'/' S�' r"�_ <br /> SIGNATURE ~ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �d�/ � (("_.l�Vp 6 .�j-�G�; • ?v'� �.?.3 <br /> License# � ' J , � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREP Y/N <br /> Address <br /> License# �-- <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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,ConstrucGon Plans,Stormwater Plans wl Silt Fence instailed, <br /> Sanitary FadNtles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> `�COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,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 construcUon. <br /> Directions: <br /> Fill out appiicatlon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement Is required. (A/C upgrades over s7500) <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 it on public roadways..needs ROW <br />