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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (�z_z-7_ Z� � Phone Contact for Permfttin 1�6 31�1 -- O 6 <br /> Owner's Name Owner Phone Number <br /> Owners Address Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS 5 5 Q-` t�T'� STeE E T LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOC,K Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK ��� �� O� t'�v �.+q�� C �^'�ovE Awq INS'te►l.�,pT,o„��Gr" , <br /> c <br /> BUILDING SIZE � $Q FOOTACsE � EIGHT , � <br /> i <br /> �$UILDING , - �%L'O0�_ �'�VALUATION OF TOTAL CONSTRUCTION <br /> r _ _... _ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS,F_N�f7GY �] ,W.R.E.C. <br /> __--- __ ,,,, <br /> QPLUMBING $ � <br /> � �.� v� � <br /> QMECHANiCAL a VALUATION OF MECHANICAL INSTA LATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER - COMPANY �-91Lo�PL lzo �2vi[�S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY G Co t}j p� R O)t'Gi SF'2u 1 Ct' <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&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 for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet complfance <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 Is required. (AIC upgrades over s7500) <br /> *' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppHcation Only) <br /> Reroofs if shingles Sev�rs Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />