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� <br /> 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> , ' Building De artment <br /> Date Received Phone ContactforPe ittin <br /> � ` 13 -�bS-I35 <br /> Owners Name �\ �O �� Owner Phone Number <br /> I Owners Address 3 3'�g YV1 �� �� • Z� Owner Phone Number <br /> �3sya <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 3 M 9 �ala.c�.��� t• 2 L► ��,'` 3 ,Syo a 0 <br /> SUBDIVISION PARCEL ID# 2�—2�—� �� DO�-(� —O f7bO 0-'O-y�U <br /> (OBTAINEO FROM PROPERTV TAX NDTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> >f INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER m t� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP110NOFWORK I�JA�re� ��Q �-�� �35�-� � U � QnJ��Q OJ� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� ` <br /> �MECHANICAL $�COV VALUATIONOF ECHANICALINSTALLATION � � <br /> J <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMP NY A�J <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COM NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Itlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;('I)set of nergy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requ red onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for sub ivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe y Page;(1)set of Energy Fortns.R-0-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructio . <br /> Directions: <br /> Fill oul application completeiy <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrad s over 57500) <br /> " Agent(for the conVactor)or Power of Attorney(for the owner)would be omeone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br />' Reroofs if shingles Sewers Service Upgrades A/C Fences(P ot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />