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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparlment <br /> Date Received Phone Contact for Pertnittin — <br /> Owner's Name �I��f�IV�1F�Q0 ���Ce r �' /ifGGKCz lG /G Owner Phone Number ���' / ! 'J �'�f <br /> Owner's Address Q �Q��� � ��3 .CJ.3 .� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � Q C� S �RC � L . //!3 J�S'TI� LOT# � <br /> SUBDIVISION G G!/Qd �� PARCELID# �D'c►�u���'Q���'Q�00�' Q �0 <br /> (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � • e ��/�� � .�ee�e �t.���Fy� F.B�I!�d� �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ �/� � VALUATION OF MECHANICAL INSTALLATION � v�S <br /> 9`a' � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO ' <br /> �'�� � u �—i isv� i i s i i e a i i�i�i�i-�i���{�� � <br /> BUILDER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> PLUIVIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL `Z��"LLc �i2� COAfIPANY QN�G"/f �I� G�(/ / DN//V �,U� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> � Address ��` ,� � � /�1 ' //e///ir /7'/�/ License# �� ��S <br /> �� ���� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> B 9 S A 1 1 1 1 1 ! A 1 1 1 L 1 1 A 1 1 1 1 ! 1 1 1 0 0 1 � @ 1"1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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/5ilt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdlvisions/large projects <br /> COMMERCI,4L Attach(3)complete sets of Building Plans plus a Life 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,Construction 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 /> SIGfd PERMIT Attach(2)sets of Engineered Plans. ` • , <br /> **"PROPERTY SURVEY required for all NEW construction. <br /> ..a.�.,��s..s..s�; �. o .�,.��• e.�..�:_e_a..o_�� � a s z a � ��.�..e..�� � . . : .� •Y,,,,:_■ •..-.:......_• • ^ <br /> Dlrections: <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 /> OVEI2 THE COUNTER PERMITTING (Front of Application Only) ' <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) , <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> ' " . , . , , i:l <br /> iF , . . - .. <br />�1 <br />