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` ' 813-780-0020 City of Zephyrhills Permit Applicatio r�'�"�-� Fax-813-780-0021 �� <br /> Building Department -- <br /> Date Received <br /> �' �% �� Phone Contact for Permittin � <br /> �rrr ¢Q <br /> IOwners Name �{ � lT � �, G�� � Owner Phan m e � � J(� I� <br /> �wners A��ress � �'�(� � I. e �LL�S �wner�hone Number ��<, `�l ��— �I�L L/ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��LI S� V Q� O L\ 1. �� L— LOT# � <br /> I SUBDIVISION 1 I e� f.� `e�ARCEL ID# �� �`����'�)����a��� "����� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW caN57R e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK t'V(�(S1l�I'C_ ' ��S.C�Q SI Z'C�"C7 S �Z-P 1 ~� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �rra�rre�R�rrrr��rr�rrrrr�-rrrrr^rrrrrrrrre-rrr��rrre��rr'e-r�s-r=r� <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> l <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ `�` v <br /> ��A �/G�-� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �^� Z �� <br /> /f/l <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER v� . �.�'t�� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �� <br /> ��..-P .--P.--..,r.-P �''' .-.-....�-�.�rt.- �� �°� <br /> . . . . ����.�� (7 l7 . . . '""'�'V� � <br /> BUILDER OMPANY ' PL� " D � � <br /> SIGNATUR REGIST Y/ N FEE CURRE� Y/N <br /> Address License# � ��� <br /> ELECTRICIAN COMPANY <br /> I SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE 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 /> s � iii � o � otetiiiie � ia � iii � ii � � e � � isi � i � � � � e � � iaioia � � � as � � io � vaAi „ o <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities R 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit 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 Woric 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 /> �4-l-8�Id-4.1-I�l��I�B�F�1.�1-�b.al.�l�Fi-1-f-�1-F�{.�{e�.�l.-1�6�fm-L.-i�l�4.1--�1-L-b.F=6-b-l-FI-�4.�6�-1�. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(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 />