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..--_____� � , <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> , ' Building Department <br /> , DateRecefved Phone ontactforPermittln �{ .p Pi — (.�'VL/� <br /> Owner's Name '��1' Q � �� ner Phone Number <br /> �n p,r,, <br /> Owner'sAddress T�� S� v ��C�`���no eN�moe� �Z <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address -- <br /> JOB ADDRESS �LS I . �S LOT# � <br /> SUBDIVISION PARCEL ID# I2�(ll�� ��O "— � <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSiR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �(� q � n <br /> DESCRIPTION OF WORK lJ.7r I � \ I� 41 �� <br /> BUILDING SIZE SQ FOOTA � HEIGHT �. <br /> UILDING $ � SQ V LUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ A P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ LUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br /> ` P � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED / N FEE CURR � N <br /> Address � l � V� License# tJ �i' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address ' License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIII111 IIIIIIIIIIIIIIIIIIIIIIIIIilllllltllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PIlans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after subroittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Wo Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plan plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permi[for new construction. <br /> Minimum ten(10)working days after subrrittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facllities&1 dumpster.Site Wo Permit for all new projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets o(Engineered Plans. <br /> ""PROPERTY SURVEY required for all EW construclion. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlre . (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Appli ion Only) <br /> Reroofs if shingles Sewers Service Upgrades A/ Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..nee s ROW <br />