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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> : � .. <br /> Date Received � � Phone Contact forPermittin � ' ` — <br /> Owner's Name � �- 1��� ���TS �U�G� Owner Phone Number 13 ( G"- Z 6 <br /> Owner's Address �. L(/ � l/ .L-� r I f�L Owner Phone Number <br /> Fee Simple Tltleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S �� � l`7� ���/�f L� I�`� • ��� �' LOT# � <br /> SUBDIVISION PARCEL•ID# dz� z,�G"�. '�����% 2.��� � <br /> . (OBTAINED FROM PROPERTYTAX NOTICE) . <br /> WORK PROPOSED NEW CONSTR - i4DD/ALT" � SIGN Q � Q DEMOLISH <br /> �� INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM ' 0 OTHER "' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Z,av �'IP S�Fj UG L D%V J�DI�f^ �j `�G/�FJ�� �'�1�(,c/%L Iz1 l, G/�r�dUl`L%Y <br /> s �/3hGr �LI�� <br /> BUILDING SIZE ' � SQ FOOTAGE�. HEIGHT : _ <br /> QBUILDING $ VALOATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Z QO � PROGRESS ENERGY �Q W.R.E.C. <br /> z�� . , <br /> QPLUNIBING $ � � <br /> OMECHANICAL ` $ VALUATION OF MECHANICAL INSTALLATION � � <br /> � �� <br /> QGAS , Q 'ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address � f:icense# <br /> ELECTRICIAN i�ii�/�� COMPANY �vU�G � �"I �G�'�r/�/� <br /> SIGNATURE �L� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � D f'��JJI�f ��� .�{I�r ��T� (=L ��3z License# �� ���G SO g <br /> PLUMBER , COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�'.� Y/N <br /> Address � License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �� ` REGISTERED < Y/ N , FEE CURRE� Y/N` <br /> Address � ' License.# <br /> OTHER r. ,� COMPANY - <br /> SIGNATURE � - � - • REGISTERED � Y/ N FEE CURRE� Y/N <br /> Address � � �t - ''ticense# <br /> RESIDENTIAL Attach(2).PIot;Plans;,(2),sets;ofBuililing;P.lans;(,1).se£of Energ'y EoPms;R-O`=1N-Pertnit�for new construction; ' " <br /> �Minimum ten(.10),.working.days�after submittal date�; Reguired onsite,�Construotion Fians;Stormwater Plans w/Sllt Fence installed, <br /> � Sanitary Facilities&;1 dumpster;Slte Vllork�Permit for,subdivislonsQarge projects ' <br /> COMMERCIAL Attach(3)complete'sets ofBuilding Plans plus a Life Safety Page;`(1)set of Energy Forms.R-O-W Permit for new canstruction. <br /> Minimum ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary FaciliUes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 51GN PERMIT Attach(2)sets°of Engineered,Plans.. " � . - <br /> ""PROPERTY SURVEY required for�all NEW construction. <br /> �irectlons: , , . , :. ' . ., <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applfcatlon,notarized <br /> If over a2500,a Notice of Commencement Is requlred. (AIC upgrades over�7500) <br /> " Agent(for the contractor)'orPower of�Attomey(forthe owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING,__._ (F[ont.of Applicatlon..Only). <br /> 2eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drtveways-Not over Counter(f�on public roadways::needs'ROW <br />