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813-780-OQ20 City�Qf Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received C_t <br /> Phone Contact for Permittin �,x_ __ <br /> Owner'sName � J/�"Cl/� Lf�{'j/��j, ; OwnerPhonis Number ��� ���/� � �r �� <br /> Owner's Address � ��' � �� , Owner PhonN Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � ���J �'�� �� j�,��Z� � LOT# �� <br /> SUBDNISION � � � ��� �< �l PARCELID# ��-o��< �(�� - ��/� - O��l��% —��l�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NSTALLS7R�/ABBtAAIL�T � SIGN Q � DEMOLISH <br /> PROPOSED USE [� SFR Q COMM [� OTHER _ C — <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK � � — ��'�� <br /> BUILDING SIZE �� SQ FOOTAGE �,3C�� HEIGHT �� <br /> OBUILDING $ ) pB,n� VALUATION OF TOTAL CONSTRUCTION <br /> <<r t7 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � /��I� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER � <br /> �� �� <br /> FiNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER 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# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER MPANY �l��Z�2�i���i� /L: � r� Ll�' <br /> SIGNATURE REGisrEREo Y/ N FEE CURRE� Y/N <br /> Address ��� i✓�- , � License# ����j C���1��� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacillUes&1 dumpster;Site Woric Permit for subdivisionsllarge 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)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <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 if on public.roadways..needs ROW - � ' , .. <br /> . .. � � r . . �, •.,.., .. ..... ^ ... � <br />