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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . ' Building Department <br /> ' i Date Recetved � � Phone Contact for Permitting — <br /> 7TTfTI-I-I- - - -- T�I 17� �r�,� <br /> Owner'sName �A�e-� "an. AS �ll1S OwnerPhoneNumbe `��3 (�/��7� �� <br /> I Owner's Address ya 3� �3 u �Q, �`�'�"V'�� Owner Phone Number <br /> Fee Simple Titlehalder Name ��� f Crv1, lT(/�S�in Owner Phone Number <br /> Fee Simple T(tleholder Address ���(/N U 1-� �r, �i�^-Od�. JL� I �( <br /> JOB ADDRESS ���'(If/ �� � �►'e- 4G� 1�, i I`S � ��5Y oC. LOT# � <br /> SUBDIVISION PARCEL ID# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> I WORK PROPOSED e NEW CONSTR� ADDIALT �> SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK '�i FRAME � STEEL Q <br /> DESCRIPTION OF WORK C C7S��e� ��5� I�� ��� � e-��N� <br /> BUILDING SIZE �� � I� SQ FOOTAGE �� HEIGHT � <br /> �BUILDING $ .5,E�O�'� VALUATION OF TOTAL CONSTRUCTION �y�O� �� <br /> dt� <br /> �ELECTRICAL $ �/y� � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. � <br /> W r <br /> OPLUMBING $ Lt^U <br /> � ����`� � �c� �(/��� <br /> MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION o r" <br /> �? ��v.a� �.a�''� �Q,� S <br /> �GAS Q ROOFING Q SPECIALTY � OTHER f/ �^ � V <br /> V �.� <br /> IFINISHED FLOOR ELEVATIONS i��,�,� y Ji } U�OOD ZONE AREA / �YES �'( NO ,\ � �S�i <br /> BUILDER �M��/ � ' � <br /> SIGNATURE REGISTE � Y f N FEE CURRE� Y/N <br /> Address l�+ � � License# <br /> EL CI �pq►�y �/ <br /> SIGNATURE REGISTE Eo �.F[-et�en Y/N <br /> Addres Lice se# <br /> �� / PLUMBER �Ci �/ � COMPANY �����' <br /> /�.,(�jpr-- I� SIGNATURE w REGISTERED YI N FEECURREf�' Y(N <br /> d•t_I`���,. <br /> ,�JG���, � Address License# <br /> � � � � <br /> �3��� MECHANICAL COMPANY �, ��G'� <br /> ��r SIGNATURE REGISTERED Y/ N EE CURRE� Y/N <br /> O Address License# � V/Q� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address License# <br /> 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Atlach(2)Plot Pians;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submiltal dale. Required onsite,Construction Plans.Slormwaler 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 Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten('10)working days after submittal dale. Required onsite,Construclion Plans,Slormwaler 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 /> i •. If over 52500,a Notice of Commencement is required. (AlC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(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 /> I <br />