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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department C� /� /1- i <br /> Date Received Phone Contact for Permittin Vl {3� p_ q(4(_47j j4P_a�l ` S <br /> Owner's Name p- u G �l e{t(SQl1 Owner Phone Number 0)3 r?b — 00 Z <br /> Owner's Address 6-ioi Ho(( U Q y1. Q, 3351al Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS &70-7 Holly C-C Ze e)1,jLr hi(t S PL Z LOT# <br /> SUBDIVISION PARCEL ID# Z— ""F"-2-1— G Lf© 6d D 00-4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL <br /> � _ <br /> DESCRIPTION OF WORK iael S Lei tId I owS S z-e T r o r l <br /> BUILDING SIZE F SO FOOTAGE HEIGHT <br /> BUILDING $ 47�Dn_u OQ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 t, AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ((J(J t r <br /> =GAS = ROOFING 0 SPECIALTY_= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z `EA =YES NO <br /> _ ` T <br /> BUILDER COMPANY G Q n /OfS T4 <br /> SIGNATURE REGISTERED / N FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRREn �• <br /> Y-/N � <br /> Address �s A f o r ia- License# d J 7 i 6 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllll <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,Stonnwater 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,Stornwater 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 /> Directlons:. - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC 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(PlotlSunrey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />