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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � Phone Contact for Permittin D�3 ��Z -- �(,)j� <br /> Owner's Name ��� � Owner Phone Number o �3 " / p D� l0� <br /> Owner's Address (p ,,.� I�JJBR �$ ��'1/��$ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Q SIlU��Q �KS � ��7/�!S ��. 7��z LOT# �� <br /> SUBDIVISION PARCEL ID# (J"J ��I vI�.O U�dCJU f D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR�ADD/ALT �� SIGN Q � DEMOIISH <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /��-'!�')D U� �� �Q e � T,� �� 2 Cm-»�aoNeN'�,5 <br /> BUILDING SIZE 8Q FOOTAGE�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W,R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ 'j���. �O VALUATION OF MECHANICAL INSTALLATION � <br /> ���U 1 � <br /> �.f <br /> �GAS O ROOFING Q SPECIALTY 0 OTHER �/Z,�J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� l ( <br /> BUILDER COMPANY <br /> SIGNATURE 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 �H�iQ/S PG NE� 5 t 'g ��C <br /> SIGNATURE ��� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7�'�� l/e,� License# �� U��R�p <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RE5IDENTIAL Attach(2)Plot Ptans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanftary FaciliUes�1 dumpster;Site Work 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 submittai date. Required onsite,Constructiar Plans,Stormwater Plans w/S�It Fance installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for atl 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 /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over E2500,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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ' � <br />