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813-780-0020 City of Zephyrhills Permit Application Fex-613-780-0027 <br /> Building Department <br /> o � <br /> Date Recetved ?��� --�LS <br /> Phone Contactfor Pertnfttin <br /> Owner's Name 1 � VL1 N,� Owner Phone Number � ���� �� <br /> Owner's Address � l v � �V� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phane Number <br /> Fee S(mple Titleholder Address <br /> JOB ADDRESS J�� l� ' L 3 LOT# � <br /> SUBDNISION C��CI,� 'LI(}Y l�w pppCELIDq ZS � �O d `VO '` �_` � <br /> (OBTAINED FHOld PHOPEp7YTAX NOTIC� <br /> WORK PROPOSED � �NEW CON57R e ADD/ALT Q 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 �W�' ��I C �} ��� •5 �'�l.�) U'b� 1/I SCUYI��-�> <br /> BUILDING SIZE S�FOOTAGE I�\� HEIGHT � <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> ELECTRICAL $ r��,` AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> .> V <br /> QPLUMBING $ �� �f i <br /> ��� !i <br /> MECHANICAL $ �"J��� VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I�� <br /> BUILDER •COMPANY• <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY ' l,"l�� �Jl_.Y V��--�5 <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address �S �� ��1. L ����J���nsek C� �Z- �2 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License H <br /> MECHANICAL COMPANY G�r WJ <br /> SIGNATURE � REGISTERED FEE CURRE� Y/N <br /> Address tS l.a � �t3���J LlcenseN l�fl/L � oC <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> �ddress License q <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllll <br /> Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)wortdng days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/SiR Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsparge proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permk for new construction. <br /> M(nimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Sift Fence installed, <br /> I 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 consW c[ion. I <br /> Directlona:• <br /> FII out application completely. <br /> Owner&Cantractor sign back of applicadon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> *' Agent(for the contractor)or Power of Attomey(for ttie owner)would be someone with notarized letter hom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requirecn <br /> Reroofs'rfshingles Sewers ServiceUpgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlvaways-Not over Counter'rf on public roadways..needs ROW <br />