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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , ` Building Department <br /> i /- 7 <br /> Date Received O - Q'� � phone Contact for Permitting /� �� -� CJ� <br /> Owner's Name �C.�-1 � �/ � Owner Phone Number `�� �� 7 O,� <br /> Owners Address o� 3�� S+�e�.-� �e ���/ry/ Owner Phone Number <br /> Fee Simple Titleholder Name � �-T Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S�'1 �1 � h rh`��.5 �L LOT# / � <br /> SUBDIVISION PARCELID# �f ����I' DD O � ���DU `��Sv <br /> (OBTAINED FROM PROPERTY TA%NOTIC� <br /> WORK PROPOSED � NEW CONSiR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��5 -�n 3 A�1�' 7 J�e.2 r!Q(�1�• I-t-�(�� � �p��� I <br /> BUILDING SIZE SQ FOOTAGE � /3l� HEIGHT � I <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �/�+p p AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ ��i O,�.;� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -- • s • ivo � � eea � otoo • o � iva • evoo �.a • • �.a • a.o �o.a <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br />, Address /'1 License# <br />� ELECTRICIAN COMPANY �S {�'1 Q. �p � �P f <br /> ISIGNATURE REGISTERED I N FEECURRE� N � <br /> � ^�+ I <br /> Address � 1/ Sr Se�J�c�5�" License# C 17�.��1 �7 s <br />� ' <br />� PLUMBER COMPANY <br /> iSIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# <br /> MECHANICAL COMPANY CS r� ��G�`�`J ' <br /> SIGNATURE REGISTERED N FEE CURRE� /N <br /> Address /.� � . ��'�' c,3��//�/� S�' License# � � �(� 6 v� 0 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREA Y/N ; <br /> Address License# i <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllltlll <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, I <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects i <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpsler.Site Work Permit for all new projecls.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&ConVactor sign back of applicadon,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the conUactor)or Power of Attomey(for the 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(PIoUSurveylFootage) <br /> Driveways-Not aver Counter if on public roadways..needs ROW � <br />