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. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> DateRecelved .3 �'��, phoneContadforPermitting Z� sb - 766j <br /> 1 1 1 I 1 1 I 1 � � � � � <br /> Owner's Name L 1 n�q � �D h dl Owner Phone Number 1 Z 7� S�y' y�S3 <br /> Owner's Address <br /> � ���� ����$"� Z �f T1`l�s r L ,Owne PhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5 ��'I �I IQ n ST��2'�' 2e�h t�)��S F� 335�� LOT# 7 � �� <br /> SUBDIVISION �i� G� 21,i��s PARCELID# �I-�6-2I- Do1a' )1'joD -l�090 I, <br /> (OBTAINED FROM PROPERTY TAX NOTICEj <br /> WORK PROPOSED e NEW CONSTR e ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP710NOFWORK 1 rQT Ot� 4Y1G� rp �4�{ r0o�` OU�S tn/r1iAs �G �O(7' PLaQ ►7Sta) <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � F� g77� <br /> OBUILDING S f �"7 VALUATIONOFTOTALCONSTRUCTION <br /> iJ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> IOMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> II OTHER /�/y� COMPANY �� ��VJOI1 fI�GI �� �nS <br /> SIGNATURE �/�'• REGISTERED N FEE CURRE� Y/N <br /> I Address (�y2 S/" �Y Nr� c. 3'l6 tS License# ��� )3z 5�33 <br /> IIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllltlllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(t)set of Energy Forms;R-O-W Permit for new construction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes 8 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 construcGon. <br /> Minimum[en(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All commercial Yequirements must meet compliance <br /> ' SIGN PERMIT Attach(2)sets of Engineered Plans. <br />� ""PROPERTY SURVEY required for all NEW construc[ion. <br /> Directions: <br /> Ffll out application compfetely. <br /> Owner 8 ConVactor sign back of applicaGon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> •` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of conVact requiredj <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />