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a - ., <br /> , • 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> � Phone Contactfar Permitting <br /> Owners Name ) L� Owner Phone Number <br /> � i U <br /> Owner'sAddress ��f���N�FL ,j27,5�� OwnerPhoneNumber <br /> � Fee Simple Titleholder Name Owner Phone Number <br /> �� <br /> r <br /> ' FeeSimpleTitleholderAddress <br /> JOBADDRESS ��s() .D�� y Ro�ra LOT# � <br /> SUBDIVISION GfiPr�YR�ILLS � PARCELIDlf 3S-a �e2I-UO/O-��.�O-OOZO <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTALL B REPAIR <br /> � PROPOSED USE Q SFR Q COMM Q OTHER <br /> � TYPE OF CONSTRl1CTI0N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I��� •Q.�L�h 17PL°.�l)�Q�' S�f�'{�T � re��Q <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT � <br /> r <br /> � QBUILDING $ CD VALUATION OF TOTAL CANSTRUCTION <br /> � ao s1 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ' ��� <br /> QGAS ��ROOFING Q SPECIALTY Q OTHER /f�/�� <br /> � FlNISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO l� <br />' � HI-F-6-1-l-i-F-l-FI--1--F-i-�F-N'.T.--.-.-.--� <br /> BUILDER COMPANY M e� ,S O l �N� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i01/� S 1.(J� (,[}� � �l-3 75'' License# c=.l.0�� <br />� ;� ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> II� Address License# <br /> i <br /> � PLUMBER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> ' Address License# <br /> � MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> , SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br />� V <br />� Address License# <br /> � � � � i � e � � � � � i � � � � � i � � � ii � iiii � iiiiii � � � � � � � � � � � � � iiiii � � � � ii � i � � � i � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-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 /> Sandary Facili[ies 8 1 dumpster,Site Woric Pennit for subdivisions/Iarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> P Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,S[ormwater Plans w/Silt Fence installed, <br /> � Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> , SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•'PROPERTY SURVEY required for all NEW conshuction. <br /> � Directions:' <br /> I Fill out application completely <br /> ' Owner&Cont2ctorsign backofapplication,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> •• Agent(for the contractor)or Pov�,er of Attomey(for the owner)would be someone with notar¢ed letterfrom owner author¢ing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> d <br /> w <br /> e <br />