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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received 8 r 3 3�� _ ��yS <br /> Phone Contact for Permittin <br /> Owner's Name w��L��'� Q . p�c�. Owner Phone Number es�� /�cS ,� L�F <br /> Owner's Address -39�0,� LJ�INO�L fj1�E. ���fl IGS,FL ,3�SyZ p�y�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titieholder Address <br /> JOBADDRESS ��2r / 9� � Z�YR-H7�`ri�L 3'3� 1 r LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e 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 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �--� SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �l�3' ` <br /> � V► <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� �� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� � �/� _ �/ � COMPANY '�+ • �7v�1f dW'�'E� <br /> SIGNATURE �y"'' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3�/D-S C����If3L /9'1�E- Z-1�1LLS <br /> License# <br /> S G ATURE N I;%�/�//',J�� j � ��%� COMPANY <br /> L '/ I/ J��� REGISTERED Y! N FEE CURRE� Y/N <br /> Address l.icense# � <br /> PLUMBER � � ��� COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � -� <br /> MECHANICAL / ,Q, , � �� COMPANY <br /> SIGNATURE (��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;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&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 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (AIC upgrades over E7500) <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 PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />