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813-780-002b City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br />,Owner's Name � n�� I �'� Owner Phone Number <br /> Owner's Address �gb�g �U��e' ��na��i i'�`����' �3 � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> ' <br /> Fee Simple Titleholder Ad <br /> JOBADDRESS �' �-l( `��vd. � �p�', r�`<<s� (z-- 3354Z S �� LOT# � <br />' sue�ivisioN PARCEL ID# �Z'2�' Z l-pp�a - O 2�f o o- a o�o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK L��� S ' �k �'a'� �e� �d' I,�'v S�-�F�-k• (�,�J s�c 1't� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br />' �BUILDING $ �D� ��� VALUATION OF TOTAL CONSTRUCTION <br /> t <br />' �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALWTION � / � �� <br /> l <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � _ �J / /,�� ��� COMPANY I� MCv1 �a(lS-�cxC�'1 M ��r �I'lC�� <br /> SIGNATURE ���VL� �U � REGISTERED Y N FEECURRE� Y N <br /> Address �b4�3 S� 5�l , �h�r�-h��(�s� �L 335�{( License# �� �S� ���z <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGiVATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> I 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 />,- 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of guilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Affach(2)comp efe sets ofBuilding Plans pius a Cife Saiety"Fage;(1)-seCofEnzrgy Forms.R=O-W�Perm�t�ornew 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 PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY 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. (A/C upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Attorney(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW . .. ... .... . .. .�..•:r.:._--- �:^: , . ->„;,.. c <br /> .�<,: ., _..-�ti:�:: _�' . . , ., �>,. . <br /> - -,.�.,u�:�.. ��.. . __ .��, , " _ <br /> .,,�- .. �,..� ..�, '.A ` .,•.1., i , , ,. _ ; <br /> � :i ,i , .� , � �r. , .� <br /> , �� � .� �yJ �[` ... <br /> � , .,; � <br /> �-...:K� ,. 1i!m9Ai"'��'' '':;_.r_:..^,. .i�'..t. _ """ <br />