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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ee Phone Contact for Permitting �� Y/�-/ 5:3, �( <br /> Owners Name qh rs �r / (�rG✓ F{I 1• Owner Phone Number 's"/Q "�7 �U <br /> Owner's Address (j 0� 01 T� Jar k i 046 ner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address q 7 f t� L <br /> JOB ADDRESS 'I(1� �• � LOT# <br /> SUBDIVISION {! PARCEL ID#1 �'.11 OVO0 00-Q0-0 OOOD <br /> /// (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT = SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK r ;ii.k / <br /> BUILDING SIZE oZ a -f SQ FOOTAGE© HEIGHT <br /> -rrrrrre-I�r"Irr�•r'e'�r®e-r�-e9-rs-r-�-o-rrrr��a-rrrr"e-r-r�e�e�rsar-e-P�-rs-r-r�r�rt�rrr'r�rr <br /> E B ILDING $a/�OV ,(� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 'l �! AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION n,1/ <br /> �5 <br /> =GAS = ROOFING Q SPECIALTY = OTHER C/111 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 111 <br /> -I-'...4.4 . •r�i-° p��r '•.�j'a.�S- '•-�C^'--r-P�pi-Po-i.�.i-C-1-1- .- Pew'--� <br /> BUILDER ••' COMPANY k J <br /> SIGNATURE �'/ `��/•`^'J REGISTERED Y/ N FEE CURREN Y/N <br /> Address S-y �`�!�-/� l 3 License# K&00 6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 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 I License# <br /> OTHER COMPANY —� <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> 1111111111111111111fillIIfIIIIIIIfIIIIfIIIIIIifIIIIIifIIIIfIIIIfIII <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 subdivisionsflarge 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,Stonmwater 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 /> -1-1-4-1-1--7-F-N-I--�F-�1-6-1-k 1-I--f�I--I-L-1+F++-I--I-1-L--6-E-I-a-I--I-1--t•-L-1--F-E--l-t-t--6�1-1-i-I+.1-d- -. . . .-1-I-. . . . <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=Nbt over Counter if on public roadways..needs ROW <br />