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j 813-780.0020 City 4f Zephyrhills ermit Application Fax-813-780-0021 <br /> ' Building D partment <br /> pate Rece(ved Phone Contact for Pe itting — <br /> Owners Name L�U 1 5 �lG(-� �� Qwner Phone Number �a 7 9�oa o 3 <br /> L� Q , <br /> Owners Address �q39 !Y� C ��� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS —1 I �. LOT# � <br /> SUBDIVISION C�\ ��.° /� PARCELI '���o�5'z�' d),�b °bCO�— ��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �/� D �J S <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 /> �PLUMBING $ �� <br /> �MECHANICAL $ � O�1 VALUATION OF ECHANICAL INSTALLATION � ��� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES � <br /> BUILDER COMP NY <br /> SIGNATURE REGIST ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST RED Y 1 N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER P NY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANI�CLA / COMP NY �J• ��r �n /HD��� <br /> SIGNATUf�t REGIST RED Y/ N FEE CURRE� Y/ <br /> / <br /> Address License# <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address - License# <br /> IIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of nergy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construclion Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Sile Work Permit for subd visionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Requ ed onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&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 /> �: � —� <br /> Directions:' <br /> Fill out application complelely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2b00,a Notice of Commencement is required. (A/C upgrad s over$7500J <br /> •• Agent(for the contractor)or Power of Ariamey(for the owner)would be s meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Apptication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />