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813-780-0020 City of Zephyrhills Permit Application ' Fax-e�s-�ao-oo2� <br /> � Y <br /> ' Building epartment <br /> Date Received Phone Contact for erm(tting �1 3 ��3 � -_ �j� l � � <br /> � f � ` g�a - l��' <br /> Owner's Mame " /�/' Ovuner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��/ Ps /q- �C LOT# � <br /> SUBDIVISION �} /� PARCEL 1 # � '"�f e� '���` 6/3D' U��� ��Jr� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK E 2 9L���ILZG'� ���V � �l7� ��C, Z C�7�-j �Jt�°/�$ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ ' VALUATION O TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br />� OPLUMBING $ ��� <br /> QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION �C �� <br /> 3�a�. aD . � <br /> QGAS Q ROOFING Q SPECIAL Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDER COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COAA ANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COM AfVY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL G��� ` COM ANY !��/�/.�S PD�/�iv� �S� � <br /> SIGNATUttE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address y�}�l A/ en� � C 3�� � License# �A-cc� �f�g � <br /> OTHER COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for sub ivisionsAarge projects <br /> COIVIMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence instatled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all r�ew projects.All commercial requirements must meet compliance <br /> SIGN PERIVIIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERN SURVEY required for all NEW construct� n. <br /> Directlons: " , -_ . . �� ` ,".` , <br /> Fill out application completely.� • . --. . ,..,,� . - <br /> Ovmer&Contractor sign�back of application,;notarized�.� S '" ` <br /> If over E2500,a Notice of Commencement Is,required::;(A/,C upgrad s over ST500) <br /> " Agent(for the contractor)or Power of Attomey(for tiie owrier)'would be omeone with notarized letter from owner authorizing same <br /> OdER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences( IoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />