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813-760-0020 City of Zephyrhills Permit Application _. F�-eis-�eo-oozi <br /> Building Department / <br /> � <br /> Date Recelved Phone Contact for Permitting Gi'� 3 �Z - 7�7Cp <br /> _.�_�..�t�..�...�...�_re ......._ �_....._.� .. ���.i_� r �.�.. <br /> � Owners Name /Tp✓� �/L7E{� TR Ow r Phone Number l G�3� ^7��� <br /> Owner's Address (p�7� ��-V���.5 �nCr Owner Phon <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee 5imple Titleholder Address <br /> JOB ADDRESS ���� ST L VFiR V� �I, Ii�SG� � �3S�Z LOT# I L-� <br /> sueorvisioN SSLVf�2 G�1'KS pARCELID# �3-210-Zl-O/ZO�C.L'�-/280 <br /> (OBTAINEO FROM PROPERTY TAl(NDTICE) <br /> WORK PROPOSED NEW coNSTR ADD/ALT [�] SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /VD'�/�- � ��✓-�WS SZZE Fi�: STZE <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � , <br /> �TTTPT�rrrPT•TTl"'T�lT�rr�T'TTrrTRrTTTTRRrTTTR���P'ITTT <br /> �BUILDING $ �'�� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ � ��ry�G `� <br /> � �N <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \ <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER����.....�.��...�..^...........=��;,i�COMPANY��.lr+r'r�..1CLtkX''D✓�^r'�'^"'�� • •�e.Li��.• <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address ��N011.('}f �S .�v� ,p�w�Q� �� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 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 I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 I t 1 l 1 E 1 F 1 E 1 I 1 1 1 1 I I E 1 L 1 i 1 1 l 1 [ 1 1 1 !1 [1 1 1 1 1 I ! 1 [1 ! 1 1 1 1 1 1 1 1 1 1 f 1 E 1 I 1 i 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oi 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 instalied, <br /> Sanitary Facilities$1 dumpster;Site Work Permit for subdivisionsllarge projects <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 aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 ail NEW construction. <br /> �.Fi�f+i-Fi-FFF4.Ff-i-�L-i-1-f-N-R-i-i-L-f-1-�Y-f-i-f-i�-f-1-FI-FJ-FI-i-L-F-F-4�i-1-4-{-FF-i-1-1-t-i-f-i-f-i-Fl-i-1-�i-1-i-L-�- <br /> Directlons: <br /> FiII out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Drivaways-Not over Counter if on public roadways..needs ROW <br /> I <br />