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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —f���� Phone Contact for Permitting ` �� - 7,22-0 <br /> Owner's Name e e—7 Owner Phone Number �� <br /> Owner's Address 7��/ S�dC/ 4�u'� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB /a <br /> JOB ADDRESS `7�® vel LOT# a� <br /> SUBDIVISION PARCEL ID# / -,6 " �21 -0/0 'OZZOQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE'.OF CONSTRUCTION = BLOCK ` 0 FRAME 0 /STEEL Q <br /> DESCRIPTION OF WORK / ��D cs'�/ !e r7541117 ejV C-X.,-i Z le-r FL <br /> BUILDING SIZE SO FOOTAGE HEIGHT . . �,k <br /> =BUILDING $ ��a VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 771 <br /> $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> (qq <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address -License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyj N <br /> Address' License# <br /> PLUI BER.,. COMPANY_ <br /> "SIGNATURE REGISTERED Y•/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE" REGISTERED Y/ N FEE CURREN <br /> Address` License.# <br /> OTHER; .-` ea_!.'� COMPANY �/ -��� /�v�-r /Cf�o�/�r� /.✓ C . <br /> ;.`SIGNATURE;i REGISTERED Y/ N FEE-CURREN Y/N <br /> Address,. Z A6,Ile- A 3 Sys License# ECt C D V9 374) <br /> ENIAL Wmit for new.construction,<-RESIDT s § B <br /> •Winimum:,tem,(;10)working;days after submittalAate. Required•onsite;Construction Plans;Stormwater Plans w/Silt Fence installed,. <br /> Sanityry,F,,acilibes$�,1.;dumpster;Site Wk Permi ort.for, /la ubdivisionsrge'projects. ' <br /> ;'::COMMERCIAL Attach•'(2), Plete-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)set§:of;Engineered Plans;:. <br /> ""*"PROPERTY SURVEY,requlred for.all.NEW.construction... <br /> t' <br /> `•Directions: • <br /> Fill:out.application completely. <br /> Owner&.Contractor sign back of application,notarized <br /> -if over.$2500,a Notice.oftommencement is required. (A/C upgrades over$7500) <br /> *•' Agent,(for-&icontractor)-or,Power of'Attomey(for'the owner)would be someone with notarized letter from owner authorizing same <br /> �OVER11-16COUNTER,PERMITTING. ...- . .:(copy of-contract-required) <br /> Reroofs ifshingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubIIc`roadways..n'eeds ROW <br />