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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , , Building Department Date Received �Q��d'�f� Phone Contact for Permitting �� y��-�� Owner's Name r�. � � � ,... , � Owner Phone Number ��(�''1 . � �i_►(�, p Owner's Address �a�oa-t�� '�^ �/' �Giy.�c�� Owner Phohe Number Fee Simple Titleholder Name �rr* 'L Owner Phone Number , . . Fee Simple Titleholder Address ��a ��/`+"�� '_ ��v'+t �`�` JOB ADDRESS �� ,�� '�I- ��7� ��d/ � � " � �� LOT# l� � SUBDIVISION �I�� '� �p PARCEL ID# ,(OBTAINED-FROM PROPERTYTAX NOTICE) _ ' WORK PROPOSED �NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE �� SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0 ' DESCRIPTION OF WORK n�� 'j�'��-j � I�S/��4�C� �JC� bQ-'�"� -�cl��-4 �� 1'� BUILDING SIZE S�FOOTAGE��e I HEIGHT QBUILDING � ��, �� VALUATION OF TOTAL CONSTRUCTION �f/�/ ,�(/C�'' �ELECTRICAL $ = cc� AMP SERVICE �� PROGRESS ENERGY � W R.E.C. �'f�d� ` . �PLUMBING $ ��.�� j�� �i OMECHANICAL $ /;�� ,� VALUATION OF MECHANICAL INSTALLATION � � � �� J OGAS Q�OOFING Q SP LTY OTHER FINISHED FLOOR ELEVATIONS 9�S �� / FLOOD ZONE AREA QYES NO I��`L� �3�= l ° -1-�1-1-�F�•�{-i-1--1-•�-4-1--1-•1-��1-•1•-1-1�-1--4-aa--�F•�1-•i-1-1-�1-�i�1a1••1-1--1-�1-•i�•1-1-�1-1--��• • • '• • • 1--1�-f••l•- BUILDER � � �r COMPANY �� 7� - ��.-�t-C„'ti �f''-C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , Address �� 7=��CO!� /�r' !/Y� � � �.0��lv 2 License# � ELECTRICIAN �� COMPANY ��✓Y J�Y1O��pn ��'�C-`�",r� � SIGNATURE REGISTERED Y/ N FEE CURRE� Y%N Address �� 51�i i��r' �.t��G rr• �- License# �'ci 3�5 d� PLUMBER � y� COMPANY l��l"/'t L�l'�'�d /2 �-�Q`'�S SIGNATURE `� REGISI"ERED Y/ N FEE CURRE� Y/N Address ��p �� () f C �vC•� uL License# V�C ��2��- MECHANICAL �� COMPANY �I�D r�SrS i �� '�r'�� S'�''� f SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address S�jD� c��jc��'f. �C�,r•./-,+�T C��e License# � �.0 OTHER /��-�.�„_��_ COMPANY PYI 1 d��r/'� �O�n SIGNATURE v REGISTERED Y/ N FEE CURRE� Y/N Address [�� j ��' .��` ��r� � License# C.� Q�� 11111111111111111111111111111111111111111. 11111111111111111' lllllllll RESIDENTIAL Attach (2)Plot Plans; (2)sets of Building Plans; (1)set.of Energy Forms; R-O-W Permit for new construction, , Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans vJ/Silf Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all naw projects.All commercial.requirements must meet compliance' SIGN PERMIT Attach (2)sets of Engineered Plans. ` . ****PROPER7Y SURVEY required for all-NEW construction. �-�.�-:�-:-:-1-�i-1..�-�{-��1..1..1-1..1..�-I..I..��I..I..f.�L.�..L-1-1..1-1-.4�1--1.-1-1--1-�1..1..4.1..1-f-1--1�-�1-��• • • • :' • • • • 1--1..1-1-4- Directions: Fill out application completely � � , I Owner&Contractor sign back of application,notarized � � � •- • _ . �- -. ' If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ** Ageht(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing:same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades AJC Fences(Plot/Survey/Footage) . Driveways-Not over Cbunter if on public roadways..needs ROW � -� , .. , , µ , � _ . , . . _� . �• \