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I <br /> 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> Building D partment <br /> Date Received Phone Contact for P rmitting -- ZS6g <br /> Owne�'s Name 1��� ��e, Owner Phone Number <br /> Owner's Address ���u ��°�� Owner Phone Number 8�3��Zq � o d��i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � rJ� O�G�T` �' ' _ LOT# � <br />-�SUBDIVISIOW - - -�-- � - PARCEL ID - - - - --- - -- — _ -- —- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � N TALLSTR 8 REPA RT [_] SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER � ' <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK d'�1 �- �z <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATIONOF OTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> - �s��a <br /> �ECHANICAL $ .���5�V VALUATION OF ECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER -'J �� I <br /> `� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICtAN COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUM�ER COMP iVY <br /> SIGidATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP NY A��TEC{-1 � ��,U I C�S <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address p•0 • �� �1 a0 Z'�1��`j �• -rj3� License# ��G � o�S 4 Cl g <br /> OTHER COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)P_lot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction, . <br /> Minimum ten(10,)working days after submittal date. Requly d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster;Site Work Permit for subdi isions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all ne projects.Ail commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. � <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power.of Attomey(for the owner)would be so eone 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(Plo Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />