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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �. Building Department <br /> � <br /> Date Received Phone Contact for Permitting �v <br /> 1 1 I 1 I 1 1 1 1 1 1 1 1 <br /> Owner's Name ��E; r L � �,cy''f^ W\r`��-"^t Owner Phone Num6er �L'� ��"ff` � <br /> Owner's Address J�S�� Y'�e W C+�1 O(n��"�''�°1 Owner,Phone Number 4��' I C.�� <br /> Fee Simple Titleholder Name I1��`�� ,"' `�� �7c-� �����" Owner Phone Number <br /> Fee Simple TiNeholder Address 3�S J M e�`0 S� ��'��"�� ' � S���,\� (_�' ��1��T7 1� <br /> JOBADDRESS ��v� CC9� L�w\� �u� zt � �h��1S ('L LOT# � <br /> SUBDIVISION �r�"r ''1�f�2'J1S PARCEL ID# 3�i-�s-21 -U►�a '—Q�4�Q•? '� 32 Z(, <br /> (OBTAINE�FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADDlALT 0 SIGN � 0 DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER \0 c t o.'�`C <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK �e� fVIA,�V 1�l�T;� �I�%�CS <br /> IBUILDING SIZE �,' X S7���� SQ FOOTAGE I�S HEIGHT I J <br /> �BUILDING $ �O� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ la�o AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �,t91 I, <br /> vv <br /> OMECHANICAL $ D�D!v VALUATION OF MECHANICAL INSTALLATION 1 --v I��� <br /> I ��/ .��� �� <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER ( (/) � �� I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO `� ,� �'��� <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER A COMPANY {'i\ \�C� CdnS Irv<)+a n�SV��eg �1�+ <br /> SIGNATURE �i REGISTERED Y/ N FEE CURREN Y/N <br /> Address � �0 x 7�S W ir�'��"t�w�'�' 1=�-`3� y License# ,_1 1� /y D 2 5{3� <br /> ELECTRICIAN COMPANY � Lt���C�` <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address License# � QQL�� <br /> PLUMBER `/r/�/L /j� COMPANY 1�i �fCh Cu�15�:.lcti�n 52•^J��CS ^�K' . <br /> SIGNATURE Lf REGISTERE� Y/ N FEE CURREN Y/N <br /> Address �� �JX � `^�'^1''��-���`^� �-3�� License# —`�� �M V 2 S�3� <br /> MECHANICAL �� ��� ROM EANY� O-N��'V uR���Ii`�6 S�S <br /> SIGNATURE <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111 <br /> X RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />, Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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 8 1 dumpster Site Work Permit for all new projects.AII commercial requiremenls 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 appiication 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)or Power of Attorney(for the owner)would be someone with nolarized letter from owner authorizing same <br />� OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />