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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '� <br /> Phone C ntactforPWrmitting <br /> TI-IT <br /> Owners Name Vu�$ R.� '�{ l�. l�u b b 0.�ro@_. Owner Phone Number � <br /> Owners Address 3'�33� e�Kn� `�TVG. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�� �`��JkOpy� �Ve. ZG h � rL.�J35 �' (` �7 LOT# � <br /> SUBDIVISION Ran�.-�oY�z.ang oh ppRCEL ID# � `�����b�4O-��p0 ' ��{�(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FR,4ME 0 STEEL Q <br /> DESCRIPTIONOFWORK �VO� �'YarhG� [{;� � ,,,�de,r e l 'T r1 C�f Or <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT �`lG�1 <br /> TI"1"P�TI"9"'P�TI"ITTTrTITTTITrRT�I'7�T�TTrT1"IYTR'PTT�rrTrTl"1"P' <br /> QBUILDING � $ / ��,(; . VALUATIONOFTOTALCONSTRUCTION <br /> ! <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ r, � /� �� � <br /> /�� �, <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -:-G-:-�F:-'•--r�.--r..-rP.-r.�rC.�-:-r� C-r. . . . ...��:�:-r�:-:-:-.-�..�F��t-:r:-r�.-•-�-••••- <br /> BUILDER •�•q �^��AN�T •b�n �Y• • • <br /> SIGNATURE ,V' ( � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �733yN�u Kor►, G, � ���(� License# <br /> • � b w v�e-r <br /> ELECTRICIAN COM ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �3� /�� � � �1 ►��1�� s License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Facilitles&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 construction. <br /> Minlmum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler.Site Work Permit for all new projects.AII commerclal requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> -1-I--1-FI--I-I--1-�1--F4-�1-t-�4.{.�.�1-�4-I.a-4-�-L-i-�-f.a-i-F-1-4.I-.1-1--I-I--�I-1--1-4-1-�1-b-1-1�-{-4-F-{-1.-1�1-.�I--�FI--�1-�1- <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 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized Ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />