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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021✓ <br /> Building Department <br /> Date Received -7— r Phone Contact for Permitting ( 01-7 - <br /> t�' <br /> -rrl-iT-7 t-I- <br /> Owners Name (�GCc 1// Owner Phone Number ''/S <br /> Owners Address ! r ivy 'C t r . 5`I Owner Phone Number <br /> Fee Simple Titleholder Name SCvM. Owner Phone Number <br /> Fee Simple Titleholder <br /> +Address 5Q4. <br /> JOB ADDRESS "fCe Jr I`fit r�C,rr, El 335q I LOT# <br /> SUBDIVISION I�Rr f�t� �i�IQS 1`7Rl_ PARCEL ID# I -c2 I"6 I5O'OCC0 - 'OR <br /> Z� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK r &4 eMAlfttiT <br /> BUILDING SIZE 305(ifC SQ FOOTAGE HEIGHT <br /> rrrrrrrrrrrrrr�-rr-r-r-rTrr�-rr-rr-r-rr'r'r'r-r-*-rrrrrrrr-r-rrr-rTrr-rre-r-�-rrrrrr� <br /> =BUILDING $ !_®�. C) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ lQ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS �< ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER < ., r]�( �„ COMPANY � t`ic�?fSn S QQ-I6t'i <br /> SIGNATURE Q1J /��- (�J-.,1S1 L1�-X>L� REGISTERED�7 Y/ N FEE CURRE Y I N <br /> Address O��7 1 + TM✓C a,F)39 ( License# Q JT O 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111 <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 dumpsler;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,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 /> 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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />