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' • ' '813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br />, euilding Department <br /> DateReceived �� 1� phoneContactforPermitting � -- �` <br /> -rr�-rrr -----rri r� - I <br /> Owner's Name { e,� � Owner Phone Num6er <br /> Owner's Address �a�{ 1"'TCYe Owner Phone Number <br /> i Fee Simple Titieholder Name Owner Phone Numher <br /> Fee Simple Titleholder Address <br /> J08ADDRESS �� ��-hAve L L�Yh�1 f�. 3vJ � LOT# � <br /> SUBDIVISION PARCELID# I�"��Q.��l—�J2�- d�3�-'I.LJZ� <br /> (OBTAINEO FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED � NEW CONS7R B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��O�ncre�e � la " ��,X � � �`�-�X2�1 ^ G!/fGi <br />, BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $�C�y-�� VALUATION OF TOTAL CONSTRUCTION <br /> J v�J <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � /�/ ^� <br /> i ;n � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER �� S COMPANY `l.� I Yl�lUn I n <br /> SIGNATURE � REGISTERED N FEECURRE� N <br /> Address a-1-\�-�2� IJ��.�-c(�nl,`Yh1�1S r� l� License# L, v.�9 �� <br /> ELECTRICIAN COMPANY <br />� SIGNATURE REGISTERED Y 1 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 CURREA Y/N <br /> Address License# <br /> 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after suhmittal date. Required onsi[e,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)seLs of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br />� Directions:• <br /> Fill oul application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attorhey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />