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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �3 g 3`Cr <br /> Phone ContactforPermitting <br /> Qwners NarTie uC L�[T Z� (/t Owner Phone Numbe �- l <br /> / C �.�t,�k! r�� �f8o3� <br /> OwnersAddress 7 !rL?H�!< < 'J a0U d� Ow�erPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � � G/� ��[ j �� � LOT# � <br />, SUBDIVISION ` r/� 11 Q�S ppRCEL ID# -�(D'�I��lJ�D'QUl1(��"OD�b <br /> (OBTAINEO FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW cON57R� ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �oL I YL ZCI� I� VL-°W� �x��� ' �" '`W <br /> BUILDING SIZE S • rC ?— SQ FOOTAGE � � HEIGHT � �YL�•w, <br /> TITTTI"I�rTP'ITI"7�ITt�T1"IT�TrITTI�f rIT iTl'TrTTI"1"'T'TTrTITTTT�TITI� <br /> UILDING $/?'svv v� VALUATION OF TOTAL CONSTRUCTION <br /> 7 <br /> QELECTRICAL $ �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � /��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1� <br /> c �wJ <br /> rv► <br /> r� � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �.--r�.--r.--a-�.--r..-r��.-.--r.�-.--rP..-r J\ .-�--r.--rFT� .-.-���.--r.�-.�-.- <br /> BUILDER � •�"'�M�NY TT^T()• • ��1•/��( ��i� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ��� <br /> // /' 'r �,,,1j� -q <br /> Address ,S� /C.� `� !L �S 7.� y� License# V Q �l�'',�/�"�j�'��v1 <br /> ELECTRI A COMPANY �( �j� �'•- ?J�/Z��f� �p <br />� SIGNATU� � REGISTERED Y/ FEE CURRE� Y/N 1('�� i\O ��j� <br /> « �! y 1. /�,��v �n�3 <br /> Address .-�• (/'. ,�� (,C(�� �f� �� License# 1 S �^ (J/ �LU t� l�" <br /> PLUMBER COMPANY �V� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y I N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111 <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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&'I dumpsler;Site Work Permit for subdivisionsAarge projecls <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,Stortnwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for alI new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> +F-f-I-I+L-b-F-4-4-4-��1.-1-1-.f.-4-1-.1-I--1-1-1--f-{-�i-1-1--i-1-1--F-F-1-.F-I--1-1--{-I-4-�1--4-f-F{-1-1--1-1-��F-1-1--1-f�-f-F-f-�L-1--1--F- <br /> Directions: <br /> FiII out application completely. <br /> Owner 6 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> •' Agent(for the conVactor)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 Seryice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over CounteY if on public roadways..needs ROW <br /> i <br />