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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmeslt <br /> Date Received <br /> Phone Contact for Permitting <br /> Owners Name L �y�'a;' S� L �:: Owner Phone Number 13 <br /> Owners Address `0tch\ �`��«CC� \� �j O Wrier Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address r +� <br /> JOB ADDRESS '_\gt)"1`P\ ���(�e � �� \`��S J LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON51 ADD/AL = SIGN = DEMOLISH <br /> INSTALL EPAI <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 1= FRAME = STEEL <br /> ��Q <br /> DESCRIPTION OF WORK t>\I^L� d� [lO� \arc l E<) <br /> y ! t <br /> BUILDING SIZE ,` SQ FOOTAGE ",bC� HEIGHT CJ� P2oR� E '�rL '"c <br /> � :ems <br /> =BUILDING <br /> < MAT;ION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 11'.COGM1ST:Y <br /> �L uLL ��R'-�.- Qa u-Tl;LSIGNATURE ' YIN FEE CURREN I YY I N Q <br /> Address aa114SCc�vN P.K rj Q��b NQ� `License# G \Jb rj t5 <br /> ELECTRIC f C�MPANY � '� l�-mG <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YY�/N <br /> Addss K15�CKA` `� ��� 3 3.5 Ei Z License# L <br /> re <br /> PLUMBER x 2;, Li'",;, ✓CO Tr ct o,���1` l vS <br /> f MPANY <br /> SIGNATURE `r r REGISTERED Y/ N FEE CURREN I Y//q <br /> Address License# C� kLka0-1 <br /> S <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA I Y/N <br /> Address License# <br /> t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,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,Stornwater 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 /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />