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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> N �/ Q <br /> , DateReceived - 7— phoneContactforPermitting -- {� (.� <br /> �` Trrm-rT <br /> Owner's Name ��� g��v�N D�-R Owner Phone Number �2 7Yr �l��( <br /> Owner'sAddress �O�O�� I"Or�I �� �1��� OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tftleholder Address <br /> J08ADDRESS ���0 N��1 I� �/���c�✓1` LOT# I� <br /> SUBDIVISION S u/E/L_ /�� PARCEL ID# v�'��`'�I 'O�t7U' Q�Q� • O�� <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK R����-+� `I W!/���/�IS SlZ� S�2� <br /> BUILDING'SIZE SQ FOOTAGE� HEIGHT � <br /> 'BUILDING $ vO VALUATION OF TOTAL CONSTRUCTION <br /> Y Y. <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � j�5�7/� <br /> / � � <br /> �PLUMBING $ /'� ��n / / <br /> / � � I� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> �� � <br /> OC�AS Q ROOFING Q SPECIALTY 0 OTHER � <br /> �l.l ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> .I <br /> BUILDER �/���s �O�,n /� � COMPANY L�� �Y 1NDOW S ���f`�S <br /> SIGNATURE � � ��'L�T� REGISTERED Y I N FEE CURRE� Y/N <br /> Address JS� S� J"7 VV � �v�� F License# CpCi��p/ �� <br /> 3275� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 1 N I <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work Permit for subdivisions/Iarge projects <br /> COMMERCIAL Attach(2)complele sets of Building Plans plus a Li(e Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> ""PROPERN SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized I <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) i <br /> ^ Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner authorizing same � <br /> OVER THE COUNTER PERMITTING (copy of contracl required) <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />