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813-780-0020 City of Zephyrhills Permit Application F����-�ao-oo2� <br /> Building Departrnent <br /> � � Date Received phane Contact for Pertnittin <br /> Owner's Name �� �S�" G V�� ��� Owner Phone Number <br /> Owners Address � � �—N� �J� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �O�� � � Ir�� LOT# � <br /> susomsiow C [l` �Z�_ PARCEL ID# 1.I —�lo--�-I--U U((�—2-O(�pO�U 3 <br /> (OBTAINm FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED e NEW CONSTR B ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �`-�VY� (fC q' ��[..�� S I✓� I e � U U� <br /> BUILDING SIZE SQ FOOTAGE � � HEIGHT ��. J <br /> QBUILDING $S��U, VALUATION OF TOTAL CONSTRUCTION (' <br /> �/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. r�� <br /> QPLUMBING $ \J y <br /> �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �n o <br /> QGAS � ROOFING Q SPECIALTY O OTHER �� O ' <br /> FINISHED FLOOR ELEVAl10NS ROOD ZONE AREA QYES NO �V� <br /> BUILDER COMPANY � � � <br /> SIGNATURE r�GiS�r�o Y! N �cuRrtEr, Y/N <br /> Address � t � �{�P ���' f✓r�U� License# �� �� <br />� ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuw�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNA7URE �cis�r�n Y/ N �curx�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �cis�r� Y/ N �cuar�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE r�cistEt�o Y/ N �ctmr�n Y!N <br /> Add►ess License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENiIAL Attach(2)Plot Plans;(2)sets of Building Plans;('I)set of Energy Forms;R-0-W Pertnit for new consWction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sik Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnd for subdivisionsllarge projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set oi Energy Forms.R-O-W PertnR for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities$1 dumpster.Sfte Work Permit for all new projects.All commerr,ial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW canstruction. <br /> Directwns:• <br /> Fill out applicaUon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attom�y(for the owner)xrould be someone with notarized letter from owner authormng same <br /> OVER THE COUNTER PERMI7TING (copy of contract required) , <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I <br /> Driveways-Not over Counler iF on public roadways..needs ROW <br />