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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department i <br /> � Date ReceNed �� � I� I <br /> Phone Contact for Pertnitting �3 7G - 'f 3� <br /> Owners Name /T �•s JRO�� O"�w� //�Or Owner Phone Number ��3- �GZ^23(p � <br /> Owners Address �,7 S l/ pGJBr� Owner Phone Number ' <br /> Fee Simple Tideholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �I <br /> JOB ADDRESS 3 �SG �JV f.✓pA� P LOT# l/ �O <br /> SUBDIVISION �d GS�'`J PARCEL ID# �" u�Z/- O�k0���CY]O � I�G D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONsfR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM �X OTHER p r mo r' t a EI�'N�+ <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK O ��.� �e o� J( � �`# �t27 •/Z-G <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> TI'7TTITrIT1"1'T'TITrt"19Tf�T1"ITTrTI"ITITrf'R�ITrTTTrTIT[�T1TrTT� <br /> �BUILDING $ �� VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �2� - <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � <br /> OGAS Q ROOFING [� SPECIALIY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> .�.�-r�.� �.�-r�--r'r:-:-C-,-.-.-r ��-:-:�� r.-.�.-.-.-.-r�.�-r.--r�.--r.--r�r.-•--•--•- <br /> BUILDER L COMPANY ��� �vR�� J�t)d r S <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y I N <br /> Address �3� �- L r�S��oJ $r � a FG 3Sb7 y License# G � 78 <br /> ELECTRICIAN ` COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREt� Y!N <br /> Address License� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnilfor new construction, <br /> Minfmum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions4arge proJects <br /> - COMMERCIAL Attach(2)comp(ete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWcUon. <br /> Mlnimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence(nstalled, <br /> Sanitary Facllitfes&1 dumpster.Sfte Work Permit for all new projects.All comrriercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required fo�all NEW construction. ' <br /> .a-f�-t-E.i-i.�1-1-1-1-1-a-{-4-1-E-1-1-4-1-1--1-1-1-d-I-.I-t-I-.I-1-I..�f..l-i-1-1-f-�{-1-4-1-4-I-1-4-1-I�I-1-�L-{..f-1-1-1-f-i..l-1-a-E-1-�F. <br /> Dfrections: <br /> Fill out application completefy. <br /> - Owner 8 Contractor sign back of appliration,notarized <br /> , If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> "' Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from awner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroots if shingles Sewers Senrice Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />