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. � � 813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> -1-1-I-1 1 �-�-�- -- - - - --�--�-�-� � - - <br /> Owners Name �C 6�IV� Co h n el I,� Owner Phone Number ���—� �7^ � / <br /> Owner's Address ��«� �v " Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS s 5aa ���� s�l �e h Q r� rj F� 3 3�y� LOT# � <br /> SUBDIVISION PARCEL ID# p` � vO I�-' C�O^ Q q(7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R B ADD/ALT � SIGN Q Q DEMOLISH <br /> l INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �I v����OvJ'� S/Zc Or S�2e. <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �r'r'r'rr'r"r"r�r'r�r'r�mm�r'r— rr'r�r'r'r'r�— <br /> �'�UILDING $ � �� �`S.L VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY C' CO Sr :il� W �f!` ��C Cfi ad�i <br /> SIGNATURE � 0.�-C J REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ���d�0 @kn � �, � ¢ ¢cr 33 b37 License# � c-Ja�S y�a <br /> ELECTRICIAN COMPANY <br /> 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 FEECURRE� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIt1111111illllllllllllllllllllitllllllllllllllttlll <br /> RESIDENTIAL Attach(2)Plol Plans;(2)sets o(Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 conslruction. <br /> Directions:�� ��^ ������^ <br /> Fill out application completely <br /> Owner 8 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 conlractor)or Power of Altomey(for the owner)would be someone with notarized lelter 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 />