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; 813-780-0020 , City of Zephyrhills Permit Application Fax-813-780-0021 <br /> I � Building Department <br /> Date Received Phone Contact for Permitting ���Z J�� - (� ��� <br /> Owner's Name ���Z �•�Q.�-��%V�����' � Owner Phone Number �Z''���/� ZL 7,t.�� <br /> Owner's Address ,o. �D 7� j �'F 2- Owner Phone Number � "�/�^ 2 7 /l�4.� <br /> Fee Simple Titleholder Name Owner Phone Number �.S �'-3/D ^�� �✓'••L� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS v�'b�� � �'T2✓� L'2i�'� Z�� �7"�''�� � ��� LOT# �7 ��� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ����� � I � ��� ���J ��-S �u%L�(C l}'L �' ��--uM�!�I lT <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> '�vyt,� <br /> �ELECTRICAL $ i y �Q O AMP SERVICEL�/r �. PROGRESS ENERGY Q W.R.E.C. <br /> 7v <br /> �PLUMBING $ �, /��O <br /> `7 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l <br /> 7��� <br /> OGAS Q ROOFING Q SPECIALTY ��" ��� <br /> 0 OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO �i-IG �v R. �$•��t �'% Pl�K-'�� <br /> pL-2 rn f r <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address , License# <br /> ELECTRICIAN ,�y� � f� COMPANY �d�S ����-G <br /> SIGNATURE " � �r -_� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� `� �` e ¢�� �`�t� License# ����G�� 9 <br /> ♦ jn�4 1 <br /> PLUMBER ^ OMPANY �., y �� K.t"� <br /> SIGNATURE REG STE o Y/ N FEE CURRE� Y/N <br /> Address �� � { License# ` <br /> MECHANICAL y�pqNy� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> -- - - = - ------ ---- ---- ----�- ------- � - <br /> address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects I <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,Construcdon 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 /> Directions: <br /> Fill out application completely. , <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades o�ver�$g7500)�y���� K.� �g� <br /> f# A�a'!'R'iN�'u�r['.+�BAYM��'�i'+w"Q'+JS�•',-•�I$Y:'SfPF-+�4Q��� <br /> Agent(for the contractor)or Power of Attorney(for the owner)would b someone with notarjzed letter fro[ri;qw�ier•.au�horizing same <br /> :i;ai A�.1�:',A-1 ._,�,,:" i;'- <br /> OVER THE COUNTER PERMInING (copy of wntract required) , �;.E;,L,,:;�,�;: �,��,tr,:;c`,''", ; rs�,.,e� F�.:� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(�IoUSurvey/Footage)t;;T;�•o(, � '���.,';a,��.��; � <br /> u ' .. . �. � i....i . ft� � ',�.:�� YI I <br /> Driveways-Not over Counter if on public roadways..needs ROW S ' �� "� � � " � `� � <br /> ,.,.�t ._.: _ ..��{�*.,.,- .. .,w:�.�; „ . <br /> I <br />