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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building epartment <br /> Date Received Phone Contact for ermittin -- <br /> � 3sz�,�y �°/ <br /> O�nrner's Name_ � Owner Phone Mumber <br /> „ � � <br /> � ' <br /> Oemer's Address h�►c:C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ( �,�� �"�.� �3 tR� � LOT# � <br /> SUBDIVISION PARCEL I # <br /> � - - ~ - J (OBTAINED FROM PROPERTY TAX NOTICE) <br /> HHORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> ' e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP710N OF VIIORK [ L �'rf' p c�r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION O TOTAL CONSTRUCTION <br /> �LECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION � 1 ss"l r <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDER COM ANY <br /> SIGMATURE REGIS ERED Y! N FEE CURRE� Y/N <br /> I Address License# <br /> ELECTRICIAN COM ANY o" C <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address v c� G—'� License# O� �s 3 <br /> PLUMBER COM AMY <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address - License# <br /> MECHANICAL COM ANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY - <br /> SIGNATURE REGI TERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wortcing days after submittal date. Re uired onsife,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facflities 8�1 dumpster;Site Work Permit for su divisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety 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 Pians wl Silt Fence installed, <br /> Sanitary Facilities&1.dumpster:Site Work Permit for alllnew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. �- _� <br /> ' "'"'PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <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 upgr des over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(forthe owner):would b someone with notarized lette�frorti`ov"uner aGthorizing same - ..-, _ _ <br /> s.. ..• ; _ • .. : . .... � . <br /> OVER YHE COUNTER PERMITTING �� �(Front'of Application'Only);:`,.'� �-� : ��' . , ,_,., . _ ' � <br /> Reroofs if shingles Sewers �, �Service'Upgrades A/C �Fences Plot/Survey/Footage) � � _i _ , ;,;-� , - ,� <br /> . .. ` `;-:;,;. ..: <br /> . ..:�: : .,..: •,.:..,.. . > . .. <br /> .. ..... .,. .: ..:..,•._v... ..-.r -�-._...,. .,„._.., ...,., . <br /> Driveways-Not over Counter if on public roadways..needs ROW - `� �<-"; � '� ,� <br />