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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , , . , Building Department <br /> � � � I <br /> ,Date Recelved Phone Conta�ct for Permittin Z� ��� — ���� <br /> � �� <br /> Owner's Name �a'� Q-nc� CQ`C c''�e �C=3C-~ I Owner Phone Number <br /> Owner's Address �Z�� ���WOOd br.Zep�yech��i�F�- Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS 1D�,�.J� ?J�eR�1NGCll �r. Z '`nye,`'hill�,� 3�5�)Z LOT# �ZZ <br /> SUBDIVISION S�`V�f O�-�5 pARI EL ID# ��r��— ��— �I�"D�QCO" I�.d <br /> I (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e 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 Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ����\'` Q�-'` ��1�`G'�l.l,re-OV'2�� �(l�$"�7Y� C�CL�• <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ I I GQ VALUATION OF TOTAL CONSTRUCTION <br /> �..� <br /> I <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> PLUMBING S V <br /> � � ,�`��`� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION ` ��� ��?(S <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � � � <br /> FINISHED FLOOR ELEVATIONS FLOI�OD ZONE AREA QYES NO � <br /> i <br /> .ti <br /> BUILDER I.� • C COMPANY ��� ��� �I�4m IJ7 G�LrY7 <br /> SIGNATURE � iREGISTERED N FE CURREN Y/N <br /> Address Y� 2���—I� 6U'Y) 1�,i�. � Lfcense# �-L1�`�S�a� <br /> i <br /> ELECTRICIAN �COMPANY <br /> SIGNATURE iREGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY �_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �� License# <br /> MECHANICAL I CO MPANY <br /> SIGNATURE �REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER ICOMPANY <br /> SIGNATURE �REGISTERED Y/ N FEE CURREN Y/N <br /> Address Llcense# <br /> IIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllltllltlltlll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days after submittal date� Requlred onsite,Const�uctlon Plans,Stormwa[er Plans w/Sllt Fence Installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisionsllarge proJects <br /> COMMERCIAL Attach(3)compiete 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; Required onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, j <br /> ""PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlans:' 'I , <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized I <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> i <br /> " Agent(for lhe conlractor)or Power of Attorney(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only)i <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/FOOtage) <br /> Ddveways-Not over Counter I(on public roadways..needs ROW i I <br /> I I <br />