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813-780-0020 City cif Zephyrhills Permit Application Fax-813-780-0021 <br /> . Bufiding Department <br /> M hf i uq <br /> Date Received <br /> ; Phc ne Contact for Permittin g/ Z�, -- R � <br /> � <br /> Owner's Name� �AfZ�2Ne. �R h Owner Phone Number (0 3 - �3 3 - �5/S D <br /> Owner's Addr�sss 3 S��3 /y�1 A�`e. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> I 2 <br /> JOB ADDRES:3 3��-�3 �y�► (�t/�, e�PtiR �i�15 L .7 3�y z LOT# 10 —/�. <br /> i <br /> SUBDIVISION C� zerh �'1i��S I PARCEL ID# ��'26'2��'00/� �QI 00 — p�OO <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPCISED e NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR ; COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK I FRAME � STEEL Q <br /> � <br /> DESCRIPTIONOFWORK �tJs��� 32j Oi' �o� ��9{t C�Ar�JLi�Nk �'�NC2 t,Ji'7�h, f �oAT <br /> � �BUILDING SIZE SQ FOOTi G� HEIGHT <br /> � <br /> � � <br /> ��UIL.DING $ �,3���0 f VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ j AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> I <br /> OPLUIWBING $ i � ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � f <br /> �GAS ` Q ROOFING SPECIALTY 0 OTHER �v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> [ 3� <br /> �tt <br /> BUILDER COMPANY L_O W�S. I^�'p(NG C2,�-e2 S L L L <br /> SIGNATURE `re� NTh C REGISTERED = Y"/JN � FEE CURRE� Y/N <br /> Address � 7�q9'3 / Nc�o F� 3 8 7 S �Ucense 15�$Sf l 7 <br /> ELECTRICIAN COMPANY � � <br /> SIGNATURE REGISTERED Y/ 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 CURRE� Y/N <br /> Address License# <br /> �hh�h <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building f�lans;(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 instailed, _ <br /> Sanftary Fac(Ilties&1 dumpster;Slte Wor�C Permft for subdivlsionsAarge projects - - <br /> COMMERCIAL. Attach(3)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 subn�ittal date. Required onsite,Constructlon Plans,Stormwater Plans w/S(It Fence installed, <br /> Sanitary Facflitles&1 dumpster.Site Wor Permit for all new projects,All commercial requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> •"•PROPERTY SURVEY requ(red for all EW consWction. <br /> � <br /> Directlons: � <br /> Fill out appUcation completely. i <br /> Owner&Contractor s(gn back of application,notarized <br /> If over 52500,a Notice of Commencement is requlrec. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the o er)would be someone with notarized letter from owner authorizing same <br /> OVER THE CCIUNTER PERMITTING (Front of Applicat�on Only) • <br /> Reroofs ff sh(nc,�les Sewers Service Upgrades A/Ci Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..neer s ROW <br />