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� -= S 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> A <br /> � Date Received � I l� �� Phone Contact for Permitting 1 Z �"1 C�� <br /> Owner's Name � ,� I� Owner Phone Number <br /> ` �. ,� �c' <br /> Owner's Address 31� LU,U�2� fY�4110c K�r.ZeOn ��u dw�ne`�r Ph n`�Number <br /> Fee Slmple Tltleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOBADDRESS ��� �—U,U�I G1Y11�YI � � � �IIIkJ F•�S�I LOT# � <br /> SUBDIVISION l/I.LK, `..lJ� ) PARCELID# �5��1- bl�o-COaO- 42� <br /> (OBTAINEO FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �SJ"eC � �"�, (�S�'(�,�� W �Y�1� �CI��Y�C�- <br /> BUILDING SRE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $� y��;,,�^�('� VALUATION OF TOTAL CONSTRUCTION <br /> �1\.t U�J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � �� � /- ''� <br /> 1 (�7 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Y/ <br /> �t <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER d�t� COMPANY P SC � �vVl <br /> SIGNATURE v REGISTERED Y/ N FEE C RRE� Y/N <br /> Address � �(�,� ��) License# , � <br /> ELECTRICIAN �w �(��a e s, COMPANY '�7C.. {/• <br /> SIGNATURE �"1 �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � (7 License# �C���C�l�S� <br /> PLUMBER COMPANY �l,l, �l. - l�(){'L� <br /> SIGNATURE REGISTERED Y/ N �e cu tten 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 CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 I 1 1 1 1 I 1 I 1 I 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new constructlon, i <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new constructfon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Sfte Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• , <br /> FIII out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice ot Commencement Is requlred. (AIC upgrades over E7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITrING (copy of contrect required) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />