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813-780-0020 City of Zephyrhills Permit ApplicationJ--�"---"--�x-813-780-0 � <br /> Building Departmenl � <br /> Date Received Phone Contact for Permittin gl G� ( � <br /> rrr-r n-i r �- -- <br /> j Owner's Name �� f}�ek , r Z, Ow Phone Number <br /> } <br /> Owner's Address �5�L' mecCftt^^Ztv�Ue..(,ir,Le,�n�Ph�115��33'• � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 755t� 411er�h�,n�v�II� C�r• �C, }���<<11��S1 FL 3��U LOT# �� <br /> SUBDIVISION 1..����1�@.W }����5 pA}ZCEL ID# �JGJ�'L�� L,— ��Zd`Q(��.00 '��i�(] <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e N TALLSTR e REPAIR � SIGN � � DEMOLISH <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK \�RS�I`� � �`(�CWSI�'� �SVQ,`( ��� (-�Cr� � I ��Q ���.y. <br /> ` ♦ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ f //t/��� VALUATION OF TOTAL CONSTRUCTION <br /> .'/ 'Tl/t:/ <br /> �ELECTRICAL � AMP SERVICE � PROGRESS ENERGY � W.R.E.C.� <br /> OPLUMBING $ � I�"i ��ri\ �Q/t`C(,t.Y-*�� <br /> 2 ��.,�o <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �- /�„� <br /> /n , iJ ��—�((i'n <br /> � !/ / <br /> �GAS � ROOFING � SPECIALTY � OTHER ,/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO V (V�G V .fG l�/�O� <br /> �f•s <br /> ^ <br /> BUILDER 1 1 �. �V G�OMPANY L�� h+r��� �/�G(j�'1/nG(���Yl <br /> SIGNATURE V`� � REGISTERED Y/ FEE CURRE� Y/N <br /> Address v��7 /Q�'M. License# , (� �'j(_pQ� <br /> ELECTRICIAN COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIItlllllltlllllllllltllllllllllllllllllllllllllllll <br /> ftESIDENTIAL Altach(2)Plol Plans;(2)sels of Building Plans:(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w�Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projecls <br /> COMMERCIAL Attach(3)complete se[s 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,Construction Plans,Stormwater 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. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 Contraclor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone wilh notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />