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813-7B0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> , � <br /> Date Received <br /> Phone Contact for Permitting — <br /> I <br /> Owner's Name � pL� �� Owner Phone Number <br /> Owner's Address ��Dv W. Ce�.'�tf� � �v� \�W�bd Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �3 I1 (O�' �C� LOT# � <br /> SUBDIVISION PARCEL ID# l� ' �b`Z�'0���' ��i9��- OD tS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � e NEW CONSTR 8 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 U /��t �i.�, �.•+��t,� �v\�yl\ �Ct- �o�'c,a�cv.-. 1c SW�O 1Aa �g�. <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />� <br /> QELECTRICAL $ ��y�O,v J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> _� <br /> QPLUMBING $ �i <br /> \ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �\S� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPAMf - <br /> SIGNAYURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN �=_,�"�'�� COMPANY e, � I�2.c���al y�1.�. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address (0 2.. Z• " r�. 3�53°� License# �C ��1�53 <br /> PLUMBER COMPANY <br /> SIGNATURE � REGisTeReo 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDEMTIAL 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/Sfit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 Wark Permit far all new projects.All commercial requirements'must meet compliance <br /> SIGN PERMIT Attach(2)sets of Enginee�ed Plans:- _ . _ , . ,_, =.. <br /> ""'PROPERTY SURVEY requ(red for all NEW constructlon. ' <br /> Directions: <br /> Fill out application completely. <br /> Oumer&Contractor sign back of appiication,notarized <br /> If over�2500,a Notice of Commencement Is requlred. (A/C 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(Plot/Survey/Footage) <br />� Driveways-Not over Counter if on public roadways..needs ROW <br />