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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , <br /> Building Department <br /> Date Received . Phone Contact for Permitting ( � -7 -- 0 <br /> Owner's Name it�Y1 ��svr�� �� -SA C• Owner Phone Number <br /> Owner's Address 1 sal` 5 �Q `A �' �''�`� Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> s' cc l JOB ADDRESS LOT# <br /> a <br /> SUBDIVISION r' ��® PARCEL ID# 0 a-a b ' _ 00 00000 V o3 <br /> ! (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE EE/ SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK • 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE L.i U HEIGHT l <br /> BUILDING $ I 000 VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q�yf/aW.R.E.C. <br /> PLUMBING $ <br /> `Cf t1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER Tt � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NA 0 <br /> v <br /> BUILDER' - COMPANY + Z:v1 CFJ e�5Ve UL ►r6 i/0�- <br /> SIGNATURE REGISTERED YV N I FEE CURREN ` Y/N <br /> Address J J�� 5 �5 1 License#S <br /> o <br /> ELECTRICIAN COMPANY c,�L C> E - '�r d - <br /> SIGNATURE kce� S REGISTERED Y/ N FEE CURREN /N_�] <br /> J <br /> Address !_ License# ( o V J <br /> PLUMBER COMPANY =3iS \l.Z � ?� , <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LCMIN <br /> Address License# <br /> MECHANICAL COMPANY �V At1NJ & Al.( <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address License# <br /> OTHER COMPANY dwa V'\ 2-00cli,Z1' <br /> SIGNATURE., REGISTERED Yf N FEE CURREN IEVN <br /> Address 6 Lt Z, i, , h,,115 AL 7 ( License# I C C&13a srs 0-T <br /> RESIDENTIAL Attach.(2)PIot:Plans;:(2)>sets ofBuilding Plans;.(1)'set'of-Energy Forms;R-O-W Permit for new.construction, <br /> m-Minimu ,..tenr(,10)working days after:submittal.date. Require&bnsite,'Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanityry.;Facilities.&;1.dumpstec;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 /> 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 1 _ Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />