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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . . Building Department <br /> Date Received i � /� <br /> � Phone Contact for Permitting 7 �� — Ip � <br /> 1 1 1 1 1 1 t 1 1 1 1 1 1 <br /> Owner's Name ��l tV� ���� V`�Vl t�S LLDC Owner Phone Number <br /> Owner's Address G � S � � �� �� � ��'L� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� a Cl�L � � ( ✓_� Z e � � l I S LOT# � <br /> SUBDIVISION PARCEL ID# �S " �.J~—'aZ I — D� �D —O�jCj � �—�� Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER J�o vK d D r S <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �� S�Ct-I,' �,-�-a Wi. 'I'� Cr �6� Ir S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �D 3so.D� <br /> �LECTRICAL $ ��p �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> VALUATION OF MECHANICAL INSTALLATION � ����� <br /> QMECHANICAL $ � 9�q� <br /> N�' <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � (�''{7� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> " ' � <br /> ����� �C�-t,�'rb ��vV( . . .�,.D.v . . . . . . <br /> BUILDER � MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address g 3�P �OG����'1. �I r� �-G�-h� C h�i VLD License# (��G �a 5�`'�" a. <br /> ELECTRICIAN � �- �C�OMPANY VV'e �"Vt l�i~' ��e� �`�G�i�C �GtC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7�.(a �( F L a��CXC�. /-�V��CQv 6Y1� r i License# G G �3 D��S�v <br /> PLUMBER COMPANY <br /> SIGPIATURE 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 CURRE� Y/N <br /> Address ' License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities&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&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 /> . . . ._._._. . <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)or Power of Attorney(for the owner)would be someone with 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />