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\ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> ' Date Received � j�— phone Co�rtact for Permitting � — f0� <br /> Owner'sName 1/(f NE� i G//W/,R.D OwnerPhoneNumber 0' <br /> Owner's Address (�f D I$TH Owner Phone Number <br /> Fee Sfmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 13O � TN ZC � � � rZ )��7 LOT# � <br /> SUBDNISION zEY !cF�Z� PARCEL ID#� '0�6� ��O O' �On ��%O�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSiR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> 1 INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CAMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK RLr�L G 3 W�N��W i B� �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> � /�l%'Y �BUILDING $ Q Q VALUATION OF TOTAL CANSTRUCTION <br /> -=�-� R�o, <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q ,W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �n� � <br /> . � <br /> QGAS Q ROOFlNG Q SPECIALN Q OTHER <br /> FINISHED FLOOR ELEVATIONS ROOD ZONE AREA QYES NO <br /> BUILDER COMPANY /�d1,�7A/v �'XTL'2Je2 � �. <br /> SIGNATURE REGISTERED Y/ N FEECURRE� YIN <br /> I� Address / /ti/. �t 0�/Z f f}V� License# G'1 G �� <br /> I ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y I N <br /> iAddress License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> iAddress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISiERED Y/ N FEECURREA Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 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 I 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-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facildies 81 dumpster,Site Work Permft for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facildies&1 dumpster Site Work Permd for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required forall NEW construction. <br /> Directians:• <br /> Fill out application completely <br /> Owner&Cordractorsign backofapplication,notarized <br /> If over$2500,a Notice of Commencement�required. (A7C upgrades over$7500) <br /> " Agent(forthe contractor)or Power of Attomey(for the ovmer)�nould be someone wdh notarized letter from ownerauthoriLng same <br /> OVER THE COUNTER PERMRTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />