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813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> Building De artment <br /> Date Received Phone Contact for Pe itting — <br /> Owner's Name C7 �(. I � ``' ��'` Owner Phone Idumber b �3 Z f 4 2� <br /> Owner's Address J� � �� ►��c���`"� " �'� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple 7ttleholder Address <br /> JOB ADDRESS � (V W�u V��•�, �/ � ( S � LOT# � <br /> SUBDIVISION PARCEL ID# 3-l— Z - O� ., dp 8 D <br /> _ _ _ _ - - _ _ ___ _ (OBTAINED FROM PROPERTY 7AX NOTICE)_` __ _ � _ _ _ <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT ^ SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED IDSE Q S,FR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK Te c�r oT Y" �t- I/` . ��fn �c. U�o�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE , Q PROGRESS ENERGY Q W.R.E.C. <br /> ' ! <br /> OPLUMBING $ ��S <br /> ;� �S <br /> OMECHANICAL $ 5�5�� VALUATION OF ECHANICAL INSTALLATION <br /> QGAS Q ROOFING [�] SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAPI COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> �lddress License# <br /> PLUMBER COMPA Y� <br /> SIGNATURE REGISTER D Y/"N FEE CURRE� Y/N <br /> Address L(cense# <br /> MECHANICAL COMPA ' <br /> SIGNATURE REGISTE o Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER , COMPA �LC '`DO y i ul <br /> SIGNATURE � REGISTE ED Y/' N FEE CU en Y/N <br /> Address l � �� 0 U p L�i � l- License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requir onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster;Site Work Permlt for subdiv sionsllarge projects <br /> I COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ne proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW constructlon. , <br /> Directions: .i <br /> Fili out applicatlon completely. <br /> Owner&Contractor sign back of application,notar(zed <br /> If over b2500,a Notice of Commencement is requlred. (A/C upgrades over�7500) � ' <br /> �. , ._..,._ .�,__ . , , <br /> . ,: . � . _: <br /> " Agent(for the contractor)or Power of Attomey(for the ownerj would be so eone with notarized letter from owne�authbrizirig same=-�� - -• <br /> OHER THE COUNTER PERMITTING � (Erorit of Application'Only) " � � '`� s !'�--.- �,,, , • ` � , <br /> ; - , <br /> Reroofs if shingles Sewers;; `Service Upgrades A7C;'�c ,"Fences(Plo urvey/Footage) •� � �:�•��. ��, , _ ' • <br /> ' . _. ., ��i:..�J��. _' ' � (� � �,. ':_i.._. "� � "' �1 <br /> Driveways-Not over Counter if ompublic r'oadways..needsROVV ,. ` - - = ., <br />