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813�780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> " �� Building Department � <br /> � ��• <br /> Date Receive;d Phone Contact for Permitting <br /> � - <br /> �Owner's Nam�e �O ovca✓ Lri'-z- l`� �C e- Owner Phone Idumber <br /> Owner's Add�ess �0. o <br /> �D l � l�t� Qc�Owner Phone Number <br /> � <br /> � <br /> Fee Simple T�tleholder Name Owner Phone Number <br /> � ' <br /> Fee Simple T�tleholder Address <br /> J�i AD�RESS � 93�� ��� �� 2� h ,= <<l� L LOT� � <br /> sus�rvisio s� ��� � ��,� pARCELID# il����-0310 - �oa o �C�Soa <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP.DSED � , NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER . -rcn <br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAME ' 0 STEEL Q <br /> DESCRIPTIO I OF WORK /�Cri r D 4"� �Ce -/'Dp� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ! " <br /> OBUILDING � $ �� VALUATIOIV°OF TOTAL CONSTRUCTION <br /> QEL ICTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 0 � <br /> i <br /> QPL MBING $ <br /> QME�HANICAL $ VALUATION OF M�CHANICAL INSTALLATION <br /> � <br /> OGAS Q ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> a <br /> BUILDER `i`�-� COMPANY ��, pj,�, fcf',� r�'�Zo✓5 �it G <br /> SIGNATURE REGISTERED FEE RE� <br /> Y/ N Y/N <br /> Address �6�� , �H � �/�`C. �u- G �L �� �u �License# L�� �jldnr� � <br /> ELECTRICIAN - COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> PLUMBER COMPANY <br /> SIGNATURE tte�isreRe� Y/ N FEE CURRE� Y/N <br /> Address License# <br /> M ECHANI CAI; COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# <br /> ,� . <br /> OTHER ' COMPANY <br /> SIGNATURE;s i REGISTERED •Y/ N FEE CURRE� Y/N <br /> Address; • License# <br /> RESIDENTIAL Attach(2)PIoY•Plans;'(2)sets ofBuilding-Plans;(1)set of�Energy Forms;R-O-W,Permit for new construction, <br /> , �, Minimum�tem(10)working days after submittai date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fenc�i�st�tla�, - <br /> � __ Sanita.ry Facilities=R-4•!_+�mpstes;SiCe.Work,Permit for subdivisions/large-projects � <br /> COMMERCIAI_ Attach(2)complete sets of Building Plans'plus a Life Safery 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 fo�all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of;Engineered Plans. <br /> "'*"PROPERTY SURVEY required for aII.NEW construction. � <br /> Dlrections: <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 over$7500) . � •�'� � � - ' " <br /> " Agent(forith'e contractor)or Powerof Attomey(for the owner)�would'be someone with notarized letter from owner.authorizing same � I�<" r',., _ <br /> OYER THE COUNTER PERMITTING•, , (copy of�contract�equi�edj _.� � ' ' ' ' <br /> -.Reroofs if shingles Sewers �� �Service�.Upgrades-A/C " F'erices(Plot/Survey/Footage) r � �� ' � ' " � -•�� Q . <br /> Driveway�-Not over Counter if on public roadways..needs ROW . <br /> � � <br /> � • <br /> � <br /> � _._._... , <br />