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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> _ , Building Department <br /> Date Reeeived Phone Contaet for Permitting <br /> Owne1's Name �� G�/V� G�/+'1►� Owner Phone Num6er „�v � Q — <br /> Owners Address a(_ � �/Q.� -KGI• T � Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LO�# I"I <br /> SUBDNISION /� 3 "� PARCEL ID# � � ���D� � "OD OO� �`R� <br /> �S..r/1�ti� (OBTAINEDFROMPROPERTYTAXN0710EJ <br /> J�.s {v a. <br /> WORK PROPOSED e NEW CONSTR B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q ST�EL Q <br />� DESCRiPTION OF WORK � �. LI / <br /> BU LD NG S E S FOOTAGE HEIGHT <br /> I I IZ Q � � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ,� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �` �-7 v�� <br /> �MECHANICAL $�/_DO� VALUATION OF MECHANICAL INSTALLATION ����(�,\ L <br /> (O ��,,�]-, <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N �e cuar�n Y/N <br /> Address License# <br /> �LECTRICUW COMPANY �Gt!e I I2 J�ij/V.S�� �GC� i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �E cuw�n Y/N <br /> Address License# <br /> JMECHANICAL COMPANY �I1'T MeR�/�L� /77C J' �/�/V <br /> SIGNATURE REGISTERED Y/ N F�cutta�n Y/N <br /> 3jst l <br /> Address Il.� ��License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTUIL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit far new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&7 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construction. <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 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 far all NEW consWction. <br /> Direetions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized - <br /> If over 52500,a Notice of Commencement Is requlred. (A/C upgrades over E7500) <br /> •' /\qent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner author¢ing same <br /> OVER THE COUNTER PERMITTING (copy of wnVact required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PlotlSurvey/Foatage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />