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I + <br /> I , <br /> � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> I <br /> � ' I - <br /> ! Date Received �(, � " i"�� / <br /> Phone ContactforPermittin <br /> � -7-i7-1-I�r / � _ _ _ �_r9�_ <br /> � Owner's Name � ( ( S—l'e. � Owner Phone Number l�J �o/ �� <br /> i / _ <br /> i Owner's Address � � ��(jl� S V Q- Owner Phone Number <br /> IFee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � JOB ADDRESS �lf/� � L a�1 r s ✓� LOT# � <br /> susoivisioN �I'�Zrt G� �-j Z D PARCEL ID# 3Y a S a f—DD�'!0-DDbD(1- 3 �7 <br /> (OBTAINED FROM PROPERTV TAX NOTICE) . <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER _ <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK l VJC S �P CI l ✓X �v ��Yl�l�N S(Gc. !� <br /> BUILDING SIZE I SQ FOOTAGE� HEIGHT � <br /> BUILDING $j_�O� VALUATION OF TOTAL CONSTRUCTION <br /> �t/ <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �A <br /> � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� S � / � <br /> I �`J <br /> I �GAS Q ROOFING Q SPECIALTY 0 OTHER - "/J /" �� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER �OMPANY GL �S CC I�I n LC 1� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> \ � � � <br /> Address ��' �� License# <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 FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL 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,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge proJects � <br /> i COMMERCIAL Attach(2)complele sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new conslruction. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans.Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit 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 /> F:II out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 PERMITIING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW _ <br /> I <br /> I <br /> � <br />