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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' �'G "(�1 Phone Contact for Permitting g l3 7�� - 3��g <br /> ��.. . <br /> TrITrI-iT <br /> i Owner's Name �p Ir�h 1..���� G� Ftf� iMtt C^��'�SS Owner Phone Number $t�� E�z- 7O•3� <br /> Owner's Address �734 I 6�.t l Bl v , ZL- � �,�S,�L.�3 49 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> ; <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 Gall ai�vdF � � ' �S -L 33��- � �� ��73�7 <br /> SUBDIVISION PARCEL ID# 3��Z�'Z� "�DUD" Ot�3pU--DO'�.� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e D/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q ' <br /> DESCRIPTION OF WORK V�Md '((1�y C' 1,tst��\5 �'t�► � WC��I '�' Gvk �p�,pC� �G6'O Ek'�id1 + L ,�{-c� <br /> BUILDING SIZE SQ FOOTAGE Z D Z HEIGHT I�''��� <br /> "r'rr'r��--rrr-�� rrrrr�rrrrr� <br /> �BUILDING $ �� �Q�`oO VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ,7, ����D� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING ' $ � � n��2 <br /> VJ <br /> / <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER �-it'� ���'����Lr <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> �i�C����C�����i�i�rC�i��i�'��' ����� �������������r������������•�r e <br /> ( ��,f��� <br /> BUILDER � � � COMPANY � 'M�r� Cof�J��►��ati1 a� �-1,nr►.t�.� =�'K-• ��✓'"� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��D"l'l3 5 1t5� Z.� � r�nt��S �-33 �� License# ��C. �J�� 7� Z ' <br /> ELECTRICIAN COMPANY M,G�`"��Pl � I�-'�c'�C. �61G. ���� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �''E�z-7 I D�s-�', �o Ci� 33� �icense# �G�,�0(��3�� <br />, PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER . COMPANY N�� ��� � ! ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address LD14 � ,r Z �4-Q- -,. License# l <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> . <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/Silt Fence installed, <br /> Sanitary Facilities&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 />, 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 /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. � <br />�� ..1-1-f•-4a-. . . . . {„��. . . . . 4.�1-1--��:--:--r:--r�1..4�1..��. . . . . . . �„4�f„�,� � <br /> i 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$7500) <br /> ** Agent(for the contractor)or Power of Attorney(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(PIoUSurvey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />