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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � 3 1 Z j � ��� ' I r�l <br /> Phone Contact for Permittin �7 <br /> Owner's Name . �� !((/S (J��L F jC L�� Owner Phone Number <br /> Owner's Address / "-�/ <br /> �� ��� �Y��`���1y7 Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS — � ,� S7� LOT# `—�-i--' <br /> SUBDIVISION PARCEL ID#�`�'�"' 2�-'�O�O �(��(,(�� -^ (�(jt�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT �] SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK .�C.�✓stiru. /yl CrN� �`T O�- � /���� �./��Lrp�/��y C��' <br /> --� <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT ] <br /> QBUI�DING $ i d <br /> � VALUATION OF TOTAL CONSTRUCTIO ��j g� ' <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ .� _ �i'�'�� <br /> � / _ lJ <br /> r <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY �� OTHER � L �`3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY ��/7 � <br /> SIGNATURE REGISTERED Y N FEE CURRE� , Y/N <br /> Address �K1 /��7Q� �i� �q'7VU�/�-�-{� '3�G License# l�/���(?��7/ <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/Siit Fence installed, <br /> Sanitary Faciflties 8 1 dumpster;Site Woric Permit for subdivisions/large 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 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appflcation,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (A/C upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />