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_ �-�� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec�ived 2(p � phone Contact for Permitting g l 3 � ��1 — __�y�,3� <br /> , <br /> Owner's Pfame / -2 Owner Phone Number <br /> Owner's Address 3��� Z 1�.� � Owmer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � I Z � �� LOT# C� <br /> SUBDIVISION PARCEL ID# 'a..I � o a3 0 -o o � �c�--�D� Z O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lNORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q 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 cS I 9h.v�_ <br /> BUILDING SIZE SQ FOOTAGE S HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ p0 VALUATION OF MECHANICAL INSTALLATION �� '2� <br /> ��� � <br /> QGAS �— ROOFING Q SPECIALTY Q OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER 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# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER <br /> � , ]�`'�_ ��� ��� COMPANY � <br /> SIGNATURE w ��w REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � c� �t'�.2_ r2 �,� License# 'L-C-C- —��7�7�Z- <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)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 /> CORBMERCIAL Attach(3)wmplete 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,Constructfon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facitities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applica6on completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement(s required. (A/C upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only)1 • <br /> Reroofs if shingles Sewers ,� Service Upgrades A/C , Fences(PIoUSurvey/Footage) <br /> , <br />, . . , . <br /> Driveways-Not over Counter if.on public roadways..needs ROVV, <br /> -- - . -• , . <br />