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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> Date Received � -- C � _ � <br /> Phone Contact for Permitting <br /> /� Jl T <br /> Owner's Name � �yis� G y. ��� �A�fyT' C Owner Phone Number %3- "�C�.3 Z <br /> Owner's Address �,S /� ST 2� �f���f S, �L Owner Phone Number �..� ��/�"�b�y <br /> Fee Simple Titleholder Name Owner Phone Number <br /> , <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS b�.5�/ JaZ��S>. Z � �/ �P �zs a�'G 3�� � LOT# � <br /> � <br /> SUBDIVISION PARCEL ID# �0�, ^�6"Z � "d0�1� " Od�d d 'Q t7 '7C, <br /> � � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRQPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> . TYPE OF CONSTRUCTION - [�,]�, BLOCK Q FRAME 0 STEEL Q� t <br /> DESCRIPTION OF WORK �✓✓�Sry` Ll / IC�l �C.00 �(/� �X/57'�i�� ��j'7/��o�F- l�d�� <br /> . `BUILDING'.SI2E yD j �. , SQ FOOTAGE 3.Zc�O HEIGHT � <br /> QBUILDING $ �p VALUATION OF TOTAL CONSTRUCTION <br /> � ��Do .i <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QRLUMBING $ � <br /> � � ���`t3� <br /> 011AECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , <br /> BUILDER - ( �C M'� �GP�/l/�/� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> .. Address ' License#' <br /> -ELECTRICIAN COM PANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr"e'ss License# <br /> PLUMBER; COMPANY <br /> SIGNATURE REGISTERED Y/ N • FEE`CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY' � ' <br /> - SIGNATURE � � REGISTERED Y./ N • ,FEE CURRED ; .Y/N <br /> Address License# ' <br /> OTHER.. ;, - COMPANY <br /> SIGNATURE ,REGISTERED Y/ N . FEE CURRE�. Y/N , <br /> Address _ _. ,- License# . <br /> �RESIDENTIAL � Attach(2)PIot;Flans;,(2)sets.of_Building Plans;�:(1)set,of Energy-Forms;;�R-O=W-Permit fo�,new.construction,. <br /> Miniinum.ten=(10)wo�lcing�day's•after submittafd'ate.- Required onsite,Con§truction-Plans;�Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construotion. <br /> Minimum�ten(10)working days.aftec submittal'date.,.�Required onsite,Construction Plans,.Stormwater Plans w/Silt Fence in§talled, <br /> Sanitary Facilities&1 dumpster.Site Wor1c Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sefs of:Engineerecl.Plans:' . � , <br /> *•"PROP,ERTY„SURVEY required for all NEW construction. <br /> Dt�eoti`ons: � <br /> Fill;out applicadon completely. <br /> Owner'&`Contractor,:sign,back.of.application,notarized` _ ' • • <br /> If over$2500,a Notice of Commencement is requlred. (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 /> 'OVERsTHE-COUNTER PERMITTING .�� :(copy.of_contract�required) - ' � . . <br /> Reroofsifshingles Sewers Service`Upg'redes A/C " �.Fences(PIoUSurvey/Footage) ' � � -: <br /> Driveways-Not over Counterif on public roadways..needs ROVU . } • ' <br />