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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> euilding Department <br /> Date Received (��3 7�a -�aq� �x� a 5 i� <br /> Phone Contact for Perrreitting <br /> Owners Name � I T`��� ��I�� Owner Phone Number CJ13'�� 1 � U 1_I I <br /> Owner's Address �C����1 � ' � � O+• (�'1i��5 33 � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , ���� �UC�-� ��-5 � �� ►1 �h(��S �� 3 3 5� � LOT# � <br /> SUBDIVISION ✓����u�� � PARCEL ID# V(����` �( '��7�� CJ�������� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF COIdSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK C C�-� O�F"t" I �J�Cd�` �S S UQ�eS l�S, ��('q,�+ ��I�I IL'S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ ��I��I '— VALUATION OF TOTAL CONSTRUCTION <br /> _� <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br />' �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �lll [ �a <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGIdATURE 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 f�"' 1/��� COMPANY /YU�'(� �W'��a �nC� <br /> SIGNATURE `�I�`"-/ �'�''L�� REGISTERED Y)/ N FEE G� RRE� Y/N <br /> Address �lU�l I 3 Sr�, Sy h c h<<I5(l 33591 License# M1CC�J��S�S <br /> � � ii � s � s � � s � i � � t � ies � � sae � s � oso � � � � e � a � � � � s � � si � � i � � � � � � i � � � � t � � � � e <br /> RESIDEIdTIAL 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 subdivisions/large projects <br /> COMMERCIAL Attach(3)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,Construction 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 /> . . <br /> Directions: � � � ' ` <br /> ` Fill out application completely'.`: ' ' ` " - � � .• , <br /> Owner'&'Contrac4or sign back of application,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 the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />