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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ------Date-Received--- --------- - - / --- <br /> Phone Contact for Permitting � rOG[O - �C� 7 <br /> 31 a'r <br /> Owner's Name J��I�s P�Ssig Ip-rp Owner PhoneNurn r Cei3)�/o <br /> Owner's Address 6207 rr 11 r WSr0A W. Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> /� �I <br /> JOB ADDRESS BOZO( #UNTIV '�DS1 R. Z,F.G�fyetFrte.S �333"y2'^ LOT �2'7 <br /> SUBDIVISION Ltoz Q9w I PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT `4 SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION /= BULLOCK Q FRAME = STEEL <br /> /" = <br /> DESCRIPTION OF WORK 'r iIr"" /^;,�j tazma 1' S S.ra.E � s- E <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> eT*e+r�r-ewe-e+r+re-r+•rn+are*r+ rn+ ra•�c�*r�e-r <br /> UILDING $ no VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J� <br /> _I'(I <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ( I< COMPANY C./OGe�oLLf�10fO0Q <br /> SIGNATURE 1 REGISTERED Y/ N FEE cuRRen Y I N <br /> Address 2. License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LYLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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 data. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,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 ton(10)working days after submittal data. Required onsite.Construction Plans.Storrnwater Plans w/Sift 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 /> .-�..r.i-i-:-r.-.�....-r.-.-rl-4.F.i.t-i..1..i.i�r..4-I.f..i.i-:-r......-......i.�i.b••.-.-.-C-:.v.:-i.i-i.i-i..Fi.i..i-r-i-f-i- <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. (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-Not over Counter if on public roadways..needs ROW <br />