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.� , • , 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • ' �� Building Department <br /> Date Received �- - 1� phane Contact for Pemtitting � � - ���� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name � C G� � � \ �S 4wr�eCPhone Number <br /> �G'�� � �] <br /> Owner's Address ����� � C Owner Phone Number "I �^ - %v� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS � O�l� '�.Y��C� � lJ�- ' LOT# ��f�J <br /> SUBDIVISION ���O� PARCEL ID# n - .� dp �.- - ��}� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED � NeW coNSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK V"'��a�.=-e�t r G 1 �- �GiGe 'e , � 4" �"�-"n0�0 <br /> BUILDING SIZE SQ FOOTAGE �v •� HEIGHT �` ��,�nU-��� � ��/\�����q� <br /> G\'[�a (���.� �( � \t� <br /> �BUILDING $ Q�� VALUATION OF TOTAL CONSTRUCTION <br /> l <br /> DELECTRICAL $ AMPSERVICE 0 PROGRESS�NERGY Q W.R.E.C. <br /> ��.X <br /> OPLUMBING $ ���VC. ��Cv f���v� <br /> ir /1 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l�/��`���l�� I <br /> OGAS Q ROOFING �SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO '•' -J`e" �,�e ��� `a�r�+l <br /> :��`t�'vci l� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> j2��"OTHER 1 n� COMPANY �� �` <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y <br /> Address �v� V���� �'`��License# ��-� ��c�j ���o <br /> It1111111111t1i111111111t1t11111111111t11111111111111111111I1i11111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> 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. <br /> Minimum ten(10)working days after submittal da[e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) I <br /> " Agent(for the contrac[or)or Power of Attorney(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 shingtes Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />