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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department "' <br /> r� a� <br /> Date Received ` Phone Contact for Permitting — <br /> Owner's Name � � ` �� �� t � r��j` L'�'"G Owner Phone Number �� � Y�7 " �� � � <br /> Owner's Address �9 z � ��T�j� � � J- Owner Phone Number <br /> i <br /> , . <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Stmple Titleholder Address � <br /> JOB ADDRESS 7 � 2 � L �(�K 5 T, �E P��y214r u� LOT# � <br /> �? SUBDIVISION - PARCEL ID# 1 y�2 G ' Z I `O Cl( U —U G Z!J G —O G 5�'a <br /> i: <br /> ; ` (OBTAINED FROM PROPERTY TAX NOTICE) <br /> R� WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> it ' B INSTALL B REPAIR <br /> i� PROPO�SED USE Q SFR , Q COMM 0 OTHER " <br /> �I TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> i� ' P�T �� s `� �fKl� d �v c.vit L.L <br /> i.� DESCRIPTION OF WORK <br /> , ,� <br /> fl BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �� , <br /> ; OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ,� <br /> u <br /> 4 ' ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C: <br /> F ' <br /> � QPLUMBING $ , <br /> � <br /> ; <br /> �� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> , <br /> x <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> ; <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br /> , <br /> t <br /> 4 � <br /> 1 <br /> ° BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> � <br /> a <br /> � Address License# <br /> � ` n <br /> jELECTRICIAN �p�c� l,rs `�O g l�f COMPANY �v G E� r �LC-cr2� C <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> $ 3 3���l �i 2.T�-�i C n�T�� � <br /> � Address License# - � <br /> I PLUMBER • COMPANY ' <br /> i SIGNATURE REGISTERED ' • Y/`N . FEE CURRE� ""Y/•N - <br /> � <br /> � Address License#' _ <br /> � 4 , � - . <br /> MECHANIC14L•. . COMPANY <br /> , SIGNATURE REGISTERED Y/•N. ,• FEE CURRE� �,.Y,/N - <br /> , � � , <br /> Address , License#„ <br /> OTHER_ , COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N, <br /> � Address License# <br /> !' .. . .: <br /> RESIDENTIAL'-� 'Atta'ch�,(2)Plot Plan`s;`(2)sets of$uilding Plans;_(1)set of Energy`Fomis;'R=O;W.Permit`for new construction,. _ <br /> "� Minimum ten.(1'.0):working daysaffer submittal-date. Requi�ed onsite;•Construction'Plans,Stormwater Plans w/Silt Fence installed, <br /> _ Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> � GOMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Fage;(1)set of Energy Forms.R-O-W Permit for new-construction. <br /> MiNmum ten.(10)working;days aRer submittal date. Reyuired onsite,Construction.Plans,Stormwater Plans w/Silt.Fence installed, <br /> •• Sanitary Facilities&1'dumpster.Site Work Permit for all�new projects.All wmmercial 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:&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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> O.VER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs.if shingles Sewers Seroice Upgrades A/C Fences(Plot/Survey/Footage) ' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />