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813-780-0020 City of Zephyrhills Permit Application "" -813-780-0021 � <br /> � Building Department ' <br /> � <br /> Date Received l � r.l�-1 �p Phone Contact for Permi ing a r 3 ��3 - <br /> Owner's Namei e�� G ` Owner Phone Number ��J�(_�J� 7 <br /> i / <br /> Owner's Addre'ss G 3 Sr p� (�r'� �' Owner Phone Number <br /> Fee Simple Tit�eholder Name Owner Phone Number <br /> � - <br /> Vi � <br /> Fee Simple Titleholder Address <br /> I �^ � � <br /> JOB ADDRESS .J 3S �!/�� r' � LOT# � <br /> SUBDIVISION �� vCl PARCEL ID# ��� 'Z� -�b��-D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> � � INSTALL B REPAIR <br /> PROPOSED U�SE Q SFR Q COMM 0 OTHER <br /> TYPE OF CON�TRUCTION Q BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � � /� � <br /> BUILDING SI� SQ FOOTAGE D HEIGHT �- <br /> BUI�DING $ - VALUATI °OF TOTAL CONSTRUCTION <br /> 30 <br /> DELECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPL�MBING $ i/ <br /> ' t ������I ' � <br /> ME�HANICAL �� � <br /> � $ VALUATION OF M�CHANICAL INSTALLATION � / <br /> � � �'� <br /> QGA� Q ROOFING Q SPECIALTY � OTHER , )t� <br /> �v <br /> FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER ���I��Y ��1¢l( r- � S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address � �p /(/, � ��Y License,# G O <br /> ELECTRICIAN �T ' ��COMPANY ��� �jc�v�`C � Lia-�" ��^ <br /> SIGNATURE � ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address a03 - f7 �,•.e�v:�w �l icen # G ` <br /> PLUIWBER V COMPANY / `P/r_ <br /> SIGNATURE :REGISTERED Y/ N FEE CU E� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre§s ' License# <br /> , <br /> OTHER COMPANY - <br /> SIGNATURE- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL . Attach(2)PIoYPlans;(2)�sets of Building'Plans;(1)'set of'Energy Fo.rms;R-O-W.Permit for new construction, <br /> - i' 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 sutidivisions/large projects <br /> .COMHf ERCU�L Attach(2)compiete 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 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI� 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 /> If over$2500,a Notice of Commencement is required. (WC upgrades over$7500) <br /> '" Agent(fo�the cbntractor)orPower 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(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � -- - <br />