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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 I <br /> , Building Department <br /> DateReceived �� � � 7_� �7�� ay <br /> Phone Contact for Permittin (/ / <br /> TITr <br /> Owner's Name Yi��'1 ' , � C� Owner Phone Num6er � J�� �� <br /> •-�'� t > r <br /> Owner's Address , '�:�U � �� bwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �•T � LOT# � <br /> SUBDIVISION PARCEL ID# (� "�c7(�i7C.1" �(�-�3.�(�,/"'��� P <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW cONSTR ADD/ALT � SIGN [� 0 DEMOLISH <br /> INSTALL REPAIR <br />� PROPOSED USE � SFR COMM � OTHER <br /> TYPE OFCONSTRUCTION 0 BLOCK Q FRAME � STEEL 0 <br />' DESCRIPTION OF WORK ,/�,� G�UI�LC�✓ �9,� � Q� � <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> T�iTTITTTTrTI"1"7�TI�TTTrrTT1"ITTTrT�TTTI"TTTrTTrTrT <br /> OBUILDING $'1� �,`�+3_� VALUATION OF TOTAL CONSTRUCTION .,. S���1' <br /> l cJ 1 l.5 <br /> � �ELECTRICAL $ AMPSERVICE Q PR�ES�ERGY Q W.R.E.C. <br /> �PLUMBING $ � I�� �� . / <br /> ^ � t.� <br />' �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � V / <br /> (���11✓'" �`I .� <br />, �GAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO /� /�� � /��r� <br /> /v � l. <br /> �P-��i--7-i��7-� ...r�i.�:�i..i-r'r:-:-:�7-F.:-i.-iS-�i�-Fi '-��-F��-�7-.i ��- � <br /> �f f ..-.-.�..-r�..-r <br /> BUILDER �COMPANY P_Q„ L <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address ��l�S� fll • License# ���o�� <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 1 N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y! N FEECURRE� Y/N <br /> Address License tt <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 I 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 <br />� RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Slormwater Plans w!Siil Fence inslalled, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)sel of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwaler Plans w/Silt Fence inslalled, <br /> Sanitary Facilities 8 1 dumpsler 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 conslruction. <br /> +'.�-r.-.r..r�..-r...r�l.-�4.1-�F-L-4-L.4.F-4-L..��'.�--r.�4-i-F-•.�.--r�F.i-C�.-.-.-..3-4-F-1-�4-`.�.�.�I--FI- <br />� . . . . . . � . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application complelely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Comme�cement is required. (AIC upgredes over$7500) <br /> " Agent(for the contractor)or Power of All�rney(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />