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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � <br /> Building Department <br /> Date Received ����-(s Phone Contact for Permitting ��3 �g Z - ��� <br /> Owner's Name � �i�G � �ln�-�h 5i(1�G{e-✓ Owrner Phone Number ��3' ��3 � ��,� <br /> Owner's Address 5�✓�� ��� 5"�' Owner Phone Number <br /> Fee Sfmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 53z� �$�' ��• �t'h`�rh`��s� �' 335�� LOT# � <br /> SUBDIVISION PARCEL ID# ��'Z�' z�"bb�a- �'���d� 6��1� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PFtQ�POSED B NEW CONSTR e ADDIALT � SIGN Q 0 DEiV10LISH <br /> INSTALL REPAIR � �.(�� <br /> PROPOSED USE Q SFR Q COMM 0 OTHE <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��✓ b���t (e-('OD� -�an-f"pD�C�-- 2 s .Ifl�r��0 � �-Pla.i- r�o� Cer-1-Qi l eo�- <br /> (�6G�i�� �tVY� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT 2�. <br /> �BUILDING $ 2��� _ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP.SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> . r�l`�� <br /> OPLUMBING $ ^�' / <br /> y��\/ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �v <br /> �% <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER 2CQ�,��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � � � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I 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 ��(.m� 1��c�"�°�.r,' � '�'�L' <br /> SIGNATURE ✓( REGISTERED N FEE CURRE� Y N <br /> Address 3h��3 Srz- 5u� h �hi 1l5� � 3'3cjy � License# �C l325 5D5 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> _ _ -- -Minimum ter.-{10)werking days-after-submittal date:!?equired onsi,e,-Construction-Plans,-Stormwafer Plans w!Silt Fence instalfed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 /> �ww�PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)o[Power of Attomey(for the owner)would be someone with notarized letter ftom 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 />