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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received g �$ I Phone Contact far Permitting, -W-z 333 -- 4 <br /> Owner's Name ��S e� m �� Owner Phone Number <br /> Owner's Address '6'7 F(3 ;a/ fie.w Owner Phone Number . <br /> Fee Simple.Titleholder Name " Owner Phone Number <br /> Fee Simple1itleholder Address <br /> JOB ADDRESS 5g t� -I Zw4.,11Jtr 315y.2 LOT# <br /> SUBDIVISIC)N PARCEL ID# '/ 020- -@ip Q - O 7M - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> ai INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION [�; BLOCK Q' FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK <br /> g; <br /> BUILDINGSIZE C ' -� FOOTAGE �`-I O� J HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 3• <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> I <br /> QRLUMBING <br /> i 4i,y+ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (j(9 <br /> =GAS ® ROOFING- 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> I <br /> N <br /> BUILDER , COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN 'LY LN <br /> Address " License#' <br /> ELECTRICIAN. . COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN Y/N <br /> x. <br /> Address" License#; <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED'., Y,/,,N!..l FEE CURREN <br /> Address, License# I �� <br /> MECHANICAL COMPANY," ji <br /> SIGNATURE < " . REGISTERED Y./.N': I FEE.CURREI` <br /> Address License# I . <br /> I <br /> OTHER;;•: COMPANY 14 Sc.rv-�o Tta c <br /> SIGNATURE . . - REGISTERED _ / N FEE CURREN. L Y/N <br /> Address $3 u(�> } yy —r,a FZ 3d6o26"; License# CC(_ /3.26/3Fr''" <br /> . <br /> RESIDENTIAL Attach(2);PIot,FIans;.(2)sets of Building Plans,(1)set:of Energy:Forms;R=O W-Ferrllif for'new<constructior,, <br /> Minimum ten''(10)working days after submittal`date. Required onsite,Construction Plans;Stormwater Plans%%Silt Fence installed, <br /> Sanitary Facilities&I dumpster;'Site Worts Permit for subdivislonstlarge 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&I dumpster.Site Work Permit for a'II;new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)4ets"of,Engineered Plans.,""PROPERTY SURVEY required for alLNEW construction. <br /> i <br /> Di�eeti'ons: <br /> Fill out application completely. <br /> Owner&'Contractor;sign back of.application,notarized.If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " ,Agent_(fct the contractor),or Power of Attorney_(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVERiTHE,COUNTER.PERMITTING•:: (copyofcontract.required) <br /> Reroofs:if,shingles Sewers Service'Upgrades AIC" ; :"Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on_pulilic roadways.,needs"ROW <br />