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:i <br /> 813-780-0020 City of Zephyrhills Permit Application <br /> Fax-813-760.0021 { <br /> Building Department i <br /> Date Received _ f <br /> ittin Phone Contact for Perm <br /> ( .� b <br /> Owner's Name r?G= 10 'e-00S Owner Phone Number # <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee simple TMeholder Address 1 <br /> JOB ADDRESS Y 3 LOT# <br /> SUBDIVISION J' l7 r ;c 'lo y C O _ L v 0 <br /> PARCEL ID# S Z Z I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> 1-f+' DESCRIPTION OF WORK "✓� �7� / �� I/� � S+ f( G � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ a VALUATION OF TOTAL CONSTRUCTION i <br /> 3 you <br /> [ZI <br /> ;4 <br /> In <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R,E.C. i( <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER j <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA =YES NO ;A <br /> �� ---A I i <br /> BUILDER i7 ,1 J �CLi 'COMPANY C6�r� c��.n. S�• Iv.l �n i. <br /> SIGNATURE �` LKJ�+�' REGISTERED I Y/ N FEE CURREN <br /> Address L/0 b L/l.' '4-if OP C-'I�,� , License# <br /> ELECTRICIAN 1L y lY ( Yr� O PANY <br /> SIGNATURE �'P ' � REGIST 0 Y/ N FEE CURREt, <br /> Address I'-/°y 5 W' V '` JQ- -a'11 G f. C- 2 w-W"'i"'—p License# <br /> PLUMBER COMPANY ;{ <br /> SIGNATURE REGISTERED Y 1 N FEE CURREn Y/N <br /> Y <br /> Address .License# <br /> l <br /> MECHANICAL COMPANY ;} <br /> SIGNATURE REGISTERED Y/ N FEE CURREf Y/N f <br /> Address License# a <br /> i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP YIN <br /> 'f <br /> {r <br /> Address License# <br /> 11111111111111Illlllllllllllllllilllllltllllllltllltllll / llllllllll ,? <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)vroddng days after submittal date. Required onsite,Construction Plans,Storrmvrater Plans vr/Silt Fence installed,it <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. it <br /> I` <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: x <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized I' <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) ? <br /> "I <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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PloVSurvey/Foctage) <br /> Driveways-Not over Counter If on public rDadways..needs ROW <br /> I. <br /> 'f <br />