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. , 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Portnitting LR� $b� _�-b 3(o <br /> �r <br /> Owner's Namo (�.� GtJG Owner Phone Number <br /> OwnersAddress T�Y°C.�l.�� j�[. �Ow�b�mber <br /> Fee Simple Titloholder Namo Owner Phono Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 50C S� TQ� ��.rLQ� LOT# � <br /> SUBDIVISION �G ' PARCEL ID# �d �p OT V��� ��✓� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ��SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q� BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK lJ(�.�. v <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> Tr�rr'�' r'r'rr'rr'r'��r'T-r'r'rr'rr'r'r'rrr'�rr'r�r'r'r-r'rrrr <br /> QBUILDING $ VALUATION OFTOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �CHANICAL $U/�f..,►J�/ VALUATION OF MECHANICAL INSTALLATION <br /> � � / ( <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br />� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �.�i-7--i-:-�..�-i.-i-�a-:Ti-^�:--.-6-:-r7 r...r�.--•--.-4i-r.�...ri-.-.i-:�-.-.-..-r .-. �--•--•-i-:-^.� <br />' BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross License# <br /> ELECTRI CIAN COM PANY <br />� SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br />' Address License# <br /> PLUMBER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />, Addross License# <br /> ° C��-!.� bf �f4� <br /> I MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ FEE�URRE� Y/N <br /> �/��p (� � % / <br /> Addross /'rVL,• �,T "�License# � �p <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllll <br /> RESIDENTIAL Atlach(2)Plol Plans;(2)sets of Building Pians;(1)set of Energy Fortns;R-O-W Permitfor new construction, <br /> Minimum ten(10)working days after submiltal date. Required onsilo,Construction Plans,Slormwater Plans w/Silt Fence installod, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisions/large projecls <br />' COMMERCIAL Allach(2)complele 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 aRer submillal date. Required onsite,Construction Plans,Stortnwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Sile Work Permit for all new projecls.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> -i-1-f..4-1-�1-.1-�1..{-1--F�4i-• •.-.�:-r1.b.1-4.i-4��I.��4i-i-�-L-{-i-f.�Ld-' '.-.-:--�-{-i-f.-1�-4-�1-��f--1-1..1-i-L-�{-i�-. <br /> Directlons: i <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conlrector)or Power of Attornay(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sawers Service Upgrades A!C Fencos(PIoUSurveylFootage) <br /> Driveways-Nol over Countor if on pubiic roadways..needs ROW <br />