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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r Date Received - I O $i3 (P/ : _ �&3 , <br /> Phonpe Contact for Permittin Q 2 <br /> Owner's Name / ►p f- j eA A) v` Owner Phone Number 783 <br /> Owner's Address 3 7 VU3 C..As,``f l e.,�e..r�Y Owner Phone Number <br /> Fee Simple Titleholder Name Jv Owner Phone Number <br /> Fee Simple Titleholder Address <br /> n ./`� /� p <br /> JOB ADDRESS 3 `/ U! ,8' (�As4/G-�rim ��/ �)2��5//�h• h'`LOT##1 wo/- <br /> SUBDIVISION CJ WJ J�r pv• PARCEL ID# I Ar . �-0/,gc)`000w" oow <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAMEy�IJ STEEL <br /> / = <br /> DESCRIPTION OF WORK /�JL-C1,An A)f G�'J�/V�� I,1/S.E5E2 Sp); - WC' Alto r o� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT AH x-: n& /t�a 17 n J <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ D- <br /> 0MECHANICAL $ ` „ D VALUATION OF MECHANICAL INSTALLATION <br /> 7777TT==GAS Ql(/ ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N <br /> Address License#MECHANICAL COMPANY f- cew SL(r <br /> U(Le,3 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I <br /> P-T Y///N q�j c� <br /> Address 7i I%ur$�S2fJ(lrrc�S } (� ►9 License# CC-1 CJ) C3 /1 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111 <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/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sal 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 /> FIII 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />