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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name ,�/� ��C� d!. Owner Phone Number <br /> Owner's Address J 6 �-� ��G-LG��� Owmer Phone Number <br />, Fee Stmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 7`�� GdC�L�/� LOT# � <br /> SUBDIVISION s//�crs/L �/¢�� PARCEL ID# o�^�-�-�1'�'� �G�-� (���0� °� Q �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED e N TALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /`�-�-� ��e� /' � �G7l,� � �vj�ir/SjO�c�'.�-L J�/I�'�GC� <br />' BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ ''� VALUATION OF TOTAL CONSTRUCTION <br /> (� SB 0 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' ��� <br /> � �S <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS �/ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGMATURE 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 /> MECHAPIICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ���� COMPANY G-"�l�Il+J �00��'��� <br /> SIGNATURE `�//^�'l REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ��� ���� ����il'f� � License# l�GOO �`L <br /> I -RESIDENTIAL --Attach(2)Plot P-lans;(2)sets of Building Plans;(1)_set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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 Faciflties�1 dumpster.Site Work Permit far 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 constructfon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ts required. (A/C upgrades over aT500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter ftom 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 />