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i <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> : �� ��l� <br /> t Date Received /� �(f <br /> , C � � Phone Contact for Permitting �/3 � —Q <br /> i <br /> Owner's Namej 4 112C�n �`�+L� Owner Phone Number �l3 '����Y 6-2 <br /> I <br /> Owner's Address 7 J�7 3 �h Owner Phone Number i <br /> Fee Simple Tit eholder Name Owner Phone Number � <br /> � <br /> Fee Simple Tit�eholder Address <br />� JOB AD�RESS � 7 3 �� �( LOT� (c ! r <br /> I <br /> SUBDIVISION �� PARCEL ID# l a a "�UIQ— OC� --C7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPiSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> II TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION�OF WORK (r�t,�J � „ !�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILpING $ <br /> � ►� � VALUATION OF TOTAL CONSTRUCTION <br /> . <br /> �ELE �TRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLU BING $ / <br /> ; v <br /> ! � �/ �gL� <br /> OMEC ANICAL $ VALUATION OF MECHANICAL INSTALLATION�,���� Q <br /> /�.� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER / '�% 1��. � � I <br /> � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ,i1�(� <br /> � f <br /> BUILDER ��� �COMPANY Che.l( c � � <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N � <br /> i Address c G �� �/Y License# �'�C D (fl � � .�(',l� <br /> ELECTRICIAN l COMPANY � `� �ei �I� <br /> SIGNATURE �`��/ REGISTERED N FEE CURRE� Y/N <br />� Address o� (�,s',30 .'✓�i�ev �G 3.3� License# C do <br /> PLUMBER ,.1 COMPANY G �� C�j( <br /> SIGNATURE V � REGISTERED Y N FEE CURRE� Y/N <br /> Address (e �, ! License# ��G�'j � <br /> 33�`'� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address i License# <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br />� CO�ANIERCIAL 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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.8ite Wo�k Permit for all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> ",•PROPERTY SURVEY required for all NEW construction. i <br /> Directions: I <br /> Fill out application completely. <br /> Owner&C�ontractor sign back of application,notarized <br /> If over$2�I00,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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveway I-Not over Counter if on public roadways..needs ROW <br /> I <br /> I <br /> � <br /> � <br />