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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department /� <br /> Date Received i .s 1 �� <br /> Phone Contact for Permittin �'ff! � � �$' — ,3 $� <br /> Owner's Name / /�t°� �� j s Owner Phone Number S�1r� <br /> Owner's Address �/.� .� Z �i 1" � ,f�f , Owner Phone Number <br /> Fee Simple Titlehoider Name � Owner Phone Number —� <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS � IaZ .Ze � � �i� �/; �P�i /'�iT�` �� LOT At � <br /> SUBDIVISION Z��� !' �j" PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK J �� S TA �� 1,� Ot.�.�c� p �ir►j� ��u �C� � ��j ` <br /> �-BtiIE�INf SIZE �S X Z�( SQ FOOTAGE� HEIGHT �� <br /> ��UILDING S VALUATION OF TOTAL CONSTRUCTION <br /> - .�-��-� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ��� '�. <br /> V <br /> , r__.... <br /> ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOP(i' �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER —q' ��'�� <br /> [ � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � .. w ._� , '��' iyvr.,..e <br /> BUILDER -(-��` � I��. COMPANY �"��- <br /> SIGNATURE ��� --� � REGISTERED Y/ N FEE CURRE� Y!N <br /> Address ZC � ,/' Rµ L7� License# � <br /> �.�._.�.. <br /> 4 <br /> ELECTRICIAN � _._... ':�, „ � ` `�� COMPANY ��L <br /> SIGNATURE � �� VL REGISTERED Y/ N FEE CURRE� Y/N <br /> Address j�3 ��� �c� `�rc License# <br /> ------• V �far� <br /> PLUMBER - �< COMPANY b�JL <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3 �c.,iy��n. �f' — �� License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflltfes&1 dumpster;Site Work Permit for subdivisionsflarge 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,Conshuction 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 compUance <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 /> Ovmer&Contractor sign back of application,notaNzed <br /> If over 52500,a Notice of Commencement is required. (AIC 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 PERMtTTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />