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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Dep�rtment <br /> Date Received Phone Contact for Pe itting - <br /> {� � <br /> Ovvner's Name �JanJ /'i � Owner Phone Number �� `S/(p-�`700�� <br /> Owner's Address �"�S 7� 1= " /L d��(,�llGGi /� ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS L S L` I� �Gt N�1 �G� • LOT# � <br /> SUBDIVISION PARCEL ID# <br /> _- -- -- - ---_v-_ -- -- _-- - - --- - -- - - (OBTAINED FRORT PROPERTY TAX NCTIC�f-- - - - --"- -- - <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT- I SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � � STEEL Q <br /> DESCRIPTIOM OF WORK �fiNS I�l� �p , /�'�2 Ll(� r�J�c� C-e�� e '- ��� � %o�� <br /> � <br /> BUILDING SIZE ,_ - SQ FOOTAGE� HEIGHT �p <br /> BUILDING $ a v VALUATION OF T TAL CONSTRUCTION <br /> ELECTRICAL $ • AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECMANICAL • $ VALUATION OF M CHANICAL INSTALLATION /O �� <br /> QGAS Q ROOFING Q SPECIACTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER COMPA Y �(�1. C:�n2 4. �'c_�C�' ��C <br /> SIGNATURE REGISTER D Y/ N F E CURRE� Y/N <br /> r <br /> Address License# <br /> ELECTRICIAN � COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# _ <br /> MECHANICAL COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPA Y <br /> 31GNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address ! Ucense# <br /> RESIDENTIAL 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 after submittal date. Require�onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit for subdivf�lons/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilit(es 8 1 dumpster.Site Work Permft for all ne proJects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consUucUon. - <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br />'I .. If over 52500,a Notice of Commencement Is required. (A/C upgradesI ver 57500) <br /> Agent(for the conVactor)or Power of Attomey(for the owner)would be sor�heone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ,(Front pf,Appilcatioh..Only) <br /> Reroofs if shingles Sewers Service.Upgrades A/.C'� , ,Fences(Plo urvey/Footage) <br /> Driveways-Not over Counter if on public road'w,ays:,need's.RO.W <br /> - :�.,. " - . <br /> , __ ,. , __...... �. . <br /> - <br />