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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �j^ Phone Contact for Permitting - <br /> Owners Name �+C �eTq� ZepHyRH►LDS LLe Owner Phone Number <br /> Owner's Address q O-1 S• ITT HAfzrg 5op z Ac)G Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> a <br /> Fee Simple Titleholder Address JOB ADDRESS 201 O CIA'-'— 1 n J UU� LOT# <br /> SUBDIVISION PARCEL ID# 2V'a S a V 00,p I a 1 OC)- 6cU 3 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CCINSTR e ADD/ALT = SIGN [ ] = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK NJ LL OtiE IM0auvV­ek_3t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT Z <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> SOCK � <br /> E�O <br /> ELECTRICAL $ 1"-0 <br /> O AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER11##P_WffA,`FCOMPANY �NT�2r�J1A�Oh��L C Co2P <br /> c SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address k C k)A( ST. C)(1C-c_*) rL. License# �S l aoOpy I�f <br /> S� ELECTRICIAN OMPANY �Iv1`iv�i10PJAL C CQ� <br /> 7 SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address ,0�� CIA1 AL 6T. fL . FL• License# ��la�ylq <br /> PLUMBER COMPANY <br /> // ���`` SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> 1�-) � Address License# <br /> LLL J G �r/1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111 <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 dale. Required onsite,Construction Plans,Stormwaler 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 dale. 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 /> .�.��I--1-FF+-f+l--1-�F-F-C-:--.-.-�1-��1--F4��1..4�1-�1--FF• <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 Attomey(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 />