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813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department <br /> "s <br /> Date Received (/ Phone Contact for <br /> /Perm itting <br /> Owner s Name Q jYJ?d a/I (Gy6/T,�✓d I�iVC Owner Phone Number <br /> Owner's Address Yes v JWW r e SAD 1 1 QW/Cf7 / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address f, / <br /> JOB ADDRESS 73s50 f fl ` LOT# <br /> SUBDIVISION PARCEL ID# 3'-�-1- z25— -G(C)I o—O©Q U SG —CG20 <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 Q FRAME = STEEL = <br /> M5 N t non-i//vmirtaie ire zonal(sl n Tps�et// 2 1/lorhina ec <br /> DESCRIPTION OF WORK ✓hanvY _ slei GI enalel s Ql9c 1 <br /> BUILDING SIZE SO FOOTAGE HEIGHT CJ <br /> BUILDING $ C5/00o VALUATION OF TOTAL CONSTRUCTION <br /> �J 7 ELECTRICAL $ QG AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �� . <br /> =PLUMBING § <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �— 1 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY =O i� i <br /> SIGNATURE REGISTERED N PEE CURREN Y/N <br /> NMI/ Mt/ 0J60T ItI License# Z5/2CCC5SS <br /> A r/ <br /> ELECTRICIAN COMPANY y <br /> SIGNATURE REGISTERED JaY N FEACURREN I Y/N <br /> Address 7�/�1/!�(l✓ License# LJ Z�--SS5 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE< Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsfiarge 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(far 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 />