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1 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> Date Recelved .- � Phone CantaM for Permittin 8�J �� �= �J lT I <br /> -i-IT-i"lT - I- ( <br /> Owner's Name /C L �� �Ws Owner Phone Number d 3� ��°(,'�o� <br /> Owner's Address s��d 7 7H IT LG�� /Z ��✓ ��OJwner hone Number �r y <br /> Fee Simple TfUeholder Name Owner Phone Number <br /> Fea Simple TlGaholder Addresa <br /> JOBADDRESS �7�/a 7T'y f' z��� /1 /�LLGf LOT� �3T�f"/lV— �� <br /> SUBDIVISION PARCEL IDti <br /> (OBTAINEO`F�R�OM PROPERTY TAX NOTICE) <br /> WORKPROPOSED e NSTALLSTRB REPAIR � SIGN I�(I Q DEMOLISH <br /> TT <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ���r�G �{j/�GG �f/G/1� Q'�V U Ui<j J-//.�� dF l�v�L/!/�� � W��LCC ���C <br /> BUILDING SIZE �� SQ FOOTAGE� HEIGHT �f�� � � L v`O <br /> -���.co,� <br /> QBUILDING $ � D� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� /��C�� <br /> r/!/ <br /> QMECHANICAL $ VALUATIONOFMECHANICALINSTALLATION � ��Cj^�`�rl�'�A� <br /> 1 ' <br /> �Q�—i�K-- <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �p� �f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO J, C���� <br /> � � <br /> BUILDER �OMPANY �L G� C- ��� C�. <br /> SIGNATURE REGIS7er�o Y/ N FEE CURREA Y/N <br /> Address ��/0,2 (J_.T f�/ � / , T f' 1�L• ��6-��cense# /LfDJdU/2L <br /> ELECTRICIAN � , ) �OOMPANY G/�G /GC E ��G'` <br /> SIGNATURE ( r ' FiEGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <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 COMPANY � <br /> SIGNATURE REGI9TERED Y/ N FEE CURRE� Y/N <br /> Addrass Llcense# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construclion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitery Facililies&1 dumpster,Site Work Pertnit for subdfvisfonsJlarge projects <br /> COMMERCIAL Attach(3)camplete sets of Bullding Plans plus a Lffe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitery Facllitfes 8 1 dumpster.Site Work Permit for all new proJects.All crommercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"•PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlons:• <br /> Ffll out applicatlon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> " Agent(for the contrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ff shingles Sewers Service Upgredes A1C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />