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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 7Hd .7 Phone Contact for Permitting - <br /> Owner's Name �[ -e lall 01f6/ Owner Phone Number 5,?10 <br /> Owner's Address +k G2°. Z!C L IS �3 Owner Phone Number, <br /> Fee Simple Titleholder Name Owner Phone Number' <br /> i <br /> Fee Simple Titleholder Address '/ J <br /> JOB ADDRESS LOT III hh <br /> SUBDIVISION •f ES144,sl PARCEL ID# 01•�?!j o� �3Q� 7�(�U/Q'U�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q// l/FRAME Q STEEL Q <br /> DESCRIPTION OF WORK a C`/!7 /d YL <br /> BUILDI IZE 1 -2/ aCJ SQ FOOTAGE L/ HEIGHT <br /> aP ��1��1'•�'1.9•'�1'9��Fa'PF�P�r�F'r1�rTPTT�7°�r�TITI"9"9"•PTP'�PTTP�1��f�F�i`T' <br /> UILDING $/ QQ� /r)\ VALUATION OF TOTAL CONSTRUCTION <br /> Juke `e,0 <br /> ELECTRICAL $ AMP SERVICE Q" PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 19 <br /> e6� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY <br /> = OTHER v� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER , <br /> l� PAN.Y <br /> SIGNATURE REG/ISTERED Y/ N FEE CURREN Y/N <br /> Address S/9 �'1' lam. G!?( S 3e.�(( License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address ��% lily• GJ(� S 3 � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address r License# <br /> l <br /> MECHANICAL COMPANY ,1' <br /> SIGNATURE //�� (� �• / REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIII11111IIIIIIIIIIIIIIIIIIIIIII1111 [ IIIltlll ' <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 dale. Required onsite,Construction Plans,Stonmwater 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 /> Direct-.1-f.-1-f.-1-.f-f-i-{-1-I-H-4.1-�4.1-1-F i-1--1-1-•k-f-f-4-i-i-A-t-�1�1.-I-1--L-1-4 F-f.a<Ff�-i-1•1-f.�1-1-1-F-8-1--�I�faf-a-4-1-• <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 caner 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 Y <br />