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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelvad --� p <br /> ' "r 7�'r"r'°�-rw[`�- Phone Contact for Permitting O�� ����7���i <br /> `/r� { " -_E`F'i_I.'� <br /> Owner's Nama y GK,��S� �{��D Owner Phone Numbar l 8� ����3' <br /> Owner'sAddress �f.�yG 3�assor� �LV� OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fea Slmple Titleholder Address <br /> JOBADDRESS S�(p �S,gG�'I�7 �Wr� E�� �'! '3� LQT# � <br /> SUBDIVISION `�K�lY� BLOSSO/� pARCEL ID# I Su•ZI�O I7��OO�Q��QQC O <br /> � �OBTAINEU FROM PROPERTY TAX NOTCE) � � <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK FK Lffc.L (�ZJ✓�O�S S�ZE �vv� S�ZE <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �Tl7�lT�!'l�RRTTlT'T[T!"!�l�R��TTl�P�'L�r'f rrl�}�T!"!`�lT'l�rrTl^T�l"t�tT•lT�Rt�rTP'R'T <br /> �BUILDING $ �'D� .r <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. ��`� <br /> �PLUMBING $ �1(„��"� � 1' GO�� <br /> `� � �QG <br /> Q CV <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION S' <br /> �GAS Q ROOFING Q SPECIALTY � OTHER � �` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER�...........�;..:.C....%�� +,ys,• •..i...�.,✓ �^�OMPANY��� �{WODd W I-Y` ..��:.:.��:.:. <br /> rc�o d�--��r� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addf055 <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1 1 k 1 1 1 F 1 1 1 !k t 1 1 f 1 I 1 [1 I 1 6 1 i I 1 f 1 I 1 [1 1 1 1[1 1 1 E 1 !1 E 1 i { [ f 1 1 I L 1 E 1 [1 I 1 1 I 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsile,Construction Plans,Slormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atlach(2)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 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 Atlach(2)sels of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW construction. <br /> -N-F-i�I-L-i-1-.i-i-Lt-i-l-i-f-i-Fi�.i-/-F4.f-1-i-i-4-F.i-f-4-f-1-i-t-.0.I-i-1-.L-F-i--i..{-F4.f-Fi-F-F-H-L-�-f-4-i-1-�-1-F�f-i-{-L- <br /> Directlans: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a NoUce of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(/or the contractor)or Power of Attorney(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/5urvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />