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813-780-0420 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dat+a Received <br /> Phone Contact for Permittin <br /> Owner's Name �C�.r�l� .� C�(�1 � N �,�S C� pWner Phone Number <br /> Owner's Address S�l✓t �( ��•�pW er Phone Number � <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S h�rc �r . h / ���l �3 LOT# C� <br /> SUBDIVI310N St`}t �I� --60 o a o � �� 0 <br /> � h0 l PARCEL ID� �v�" 2b—�� �' <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q [� DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 2C{/U� $10 h�--Q S, „S � , .t d 6 � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION ,� `� �Q . �� <br /> QELECTRICAL $ AMP SERVICE <br /> [_] PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ �(��!(; <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ;�� <br /> / " M�� <br /> QGAS Q ROOFING � SPECIALN Q OTHER �/"�" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO � �J'��/� <br /> �i,� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address S00�B�$� ROO�iIg� �t�. � <br /> OTHER COMPANY � � <br /> SIGNATURE REGISTERED Y FEE CURREP /►� <br /> Address � � License# �QS�q S /—� <br /> RESIDENTIAL Attach(2) o lans; sets o u g ans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wo►k Permit for subdivisfons/large projects <br /> COMMERCIAL AtNach(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 commercfal requirements must meet compNance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •-M•PROPERTY SURVEY requ(red for all NEW consVucdon. <br /> Directions: <br /> Fill out application completeiy. <br /> Ovmer&Co�tractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over a7500) <br /> " Agent(for the contractor)or Power ot Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />