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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildi g Departrnent <br /> a ` <br /> Date Received �—��rf y phone Contact r Permittin -- <br /> Owner's Idame U� ..T �?12UG�Jp�• Owner Phone tdumber <br /> Obmer's Address O�nmer Phone Mure�ber <br /> Fee Simple Titleholder Plame Owner Phone Number <br /> Eee Sfmple Titleholder Address <br /> JOB ADDRIESS � �(�� s[.� �✓ LOT# � <br /> SUBDIdISIOM PAlRCE !D# <br /> (OBTAINED FROM PROPERTY TAX IdOTICE) <br /> WORI(PROPOSED B NEW CONSTR B ADD/A Q SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF NVORIC ��Gf ���G(� /� /rl� �7y�v 10 �w <br /> BUILDIMG SIZE SQ FOOTAGE MEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTIOM <br /> DELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �✓MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI0�2������ <br /> QGAS Q ROOFI(VG Q SPECI LTY � OTHER � ��� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER C IlIIPANY <br /> SIGIdATURE RE ISTERED Y/ (V FEE CURRE� Y/N <br /> dlddress License# <br /> ELECTRICIAN C MPANY <br /> SIG(dATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER C MPAMY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/IV <br /> Address License# <br /> AfIECHAMICAL C MIPAIdY � L^�JCCLSLL�1CGr ,�G <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address 607�i9 ��� � � �// License# <br /> OTHER C iViPAMY <br /> SIGIdATURE RE ISTERED 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 afte�submittal date. R quired onsite,Cbnstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> _ Sanitary FaGlities 81 dumpster;Site Work Permit for ubdivlsions/large projects - <br /> COfIAMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW cons ct(on. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back oF application,notarized <br /> !f over 52500,a Notice of Commencement is required. (A/C upg ades over a7500) <br /> •° Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> OHER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers = Service Upgrades A/C „ Fence (PlobSurvey/Footage) <br /> Driveways-Not over Counter if o'n public.rdadways..needs ROW - <br /> . , ._ '� <br />� <br />