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813-780-0020 City of Zephyrhills Permit Application Fax-e��-�eaooz� <br /> , Building Departrnent <br /> . <br /> � Date Received � 3� phone Contact for Permitting l� -( � — ��� � <br /> ��p (S�- � �.b <br /> Owners Name C�1'�� (�i("I � 0 N Owner Phone Number <br /> Owners Address 3 � � � r'tUC. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �UU � � LOT# � � Z <br /> SUBDIVISION PARCEL IDI� � '���J � � + v�� b � ]��OD- V�( <br />� (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED e NEW CONSiR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � •� �-�� I I If`��F'�1�^N 5 I�N7 � �(�{7(L S � � Fa 2 S i2E• <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � q � <br /> �BUILDING $ V� <br /> D Qj VALUATION OF TOTAL CONSTRUCTION \S <br /> S' <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ _ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `' �/� � L!`����I'� �'� <br /> �I vW <br /> r��,1� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER a ` ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '�`� V" i �� T Z, � <br /> V <br /> � <br />' BUILDER �C� COMPANY N�^^' Sa�?�{ ��N D Vv`� r <br /> SIGNATURE A�v• GC ti s:v'1 Y REGISTEF2ED Y/ N FEE cuwtEn Y/N i <br /> Address "1�� o�u-ra�k r�c.�� tA�"' 3�V� License� C1��33d �iL � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGIS7EREn Y/ N FEE CuRRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FeE cutiFtEh Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRaEn Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE �cis�� Y/ N �cua�n Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIYIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItII . <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(70)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilitles&1 dumpster,Site Woric Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Forms.R-0.W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVUCtion Plans,Startnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Wark Pertnit for ail new projects.All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required forall NEW consWdion. <br /> Directions:• <br /> Fill out application completely, <br /> Owner&ConVactor sign badc of application,notarized <br /> If over E2500,a NoUce of Commencement fs required. (AlC 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 PERMITTiNG (Front oFApplication 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 />