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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting – <br /> .� 7�i <br /> Owner's Name e ���'e� Owner Phone Number / U -3–sz,�d <br /> Owner's Address z--3 � � Owner Phone Number <br /> iFee Simple Titleholder Name Owner Phone Number <br /> , <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS F��Z� Z3 �r LOT# � <br />_ SUBDIVISION __ _ _ P_ARCEL-ID# -�<-`� ��r'2I"`�'����v(�"-��v - <br /> _ _ �-_ J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE , Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � , �4�U• ��G� q..� L��t 1< <br /> BUILDING SIZE �FOOTAGE ��� , HEIGHT � <br /> OBUILDING $ 7Z 7S"(� VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �S <br /> `�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � J� COMPANY �� �- ���C� <br /> SIGNATURE �/ I REGISTERED Y/ N FEE CURRE� Y/N <br /> Address J �.�� /`f-a�s �c, Lc�/ 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 COMPAMY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 Facllities 8�1 dumpster;Site Work Permit for subdivisionsflarge projects �' <br /> COAAAAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Site Work Permit for all.new proJects.All-commercial requirements must meet compliance <br /> SIGN PEl3MIT Attach(2)sets�of Erigineereil Ptans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. `'; � <br /> , r <br /> Owner&Contractor sign back of application,notarized , <br /> If over 32500,a Notice of Commencementls:ne.quired. (A/C upgr9des.over 57500) <br /> - . � � <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 P.,ERMITTING�_�-: �•�(Front of Appl,ication Only) <br /> Reroofs if shingles ;Sewers '` SerVice-Upgrades A/C -`, Fences(PIot/Survey/Footage) <br /> . , --� ,_. ., �,,��_ . . <br /> Driveways-Not over Counte��ifion public roadways.,needs�ROW ' <br /> ; <br /> ,...,.....-��.•,....._..�.,.__,.-..:,..•......_.._. ,:...__:....,� <br />