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813-780-0020 City of Zephyrhills Permit Application Fax-813- -0021 <br /> Building Department <br /> � .Date Received r s I L,Z p�� _ �+`7 0 J ��� <br /> Phone Contactfor Permitting _ <br /> -r�Trrrrr - ----rrrr <br /> ` °' l,• 11'.SZ <br /> Owner's Name T�G �v�^ �(`(��1�w \ �. Owner Phone Numher � �' �� <br /> Owner's Address �V ��j'�x J�O Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tifleholder Address <br /> JOBADDRESS � Gr � `�'�. LOT# � /�l� <br /> SUBDIVISION PARCEL ID# 0' Z�`2� � ����'" �V�-�`��L d` ` � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN � 0 DEMOLISH � <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUC110N � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � � �� !� ��t1�' :. t.T� G.J/�n �-`,'1 I O <br /> BUILDING SIZE � SQ FOOTAGE �^�-J� HEIGHT � <br /> BUILDING �^; ! ` VALUATION OF TOTAL CONSTRUCTION <br /> \^, <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. <br />�, �PLUMBING $ ���,,,�, � �I�n - / <br /> � � (/ <br />' ,� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ��� �(- <br /> I OGAS Q ROOFING Q SPECIALTY � OTHER � � `(p I �.� <br /> � ��e/��tST�� C� `'`����i'�v�' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO j� <br /> V f <br /> r l ` l _ <br /> BUILDER � )��� COMPANY �^ i V L!'� '\ \ T 1 n Z <br /> SIGNATURE U � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address R �3 � t�n•C . C . License# t � �Z� � li�� <br /> ELECTRICIAN CO M PANY <br /> SIGNATURE REGISTERED 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 REGISTERED Y/ N FEE CURREP Y/N <br />' Address License# <br />, 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;('I)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies 8 1 dumpster Site Work Permit for all new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERI'Y SURVEY required for all NEW construclion. <br /> Directions: <br /> Fill out applicalion complelely. <br /> Owner&Contractor sign back of applicalion,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for lhe contractor)or Power of Attorney(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />