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813J80.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �y1 �qpJ s} <br /> Date Received 3 - Phone Contact for Permitting ( <f ` 9J� -(D rlo X MO/' <br /> Owner's Name t/Y✓�T�I/1t 71*f+v t r+�J Owner Phone Number 'tfl li/�7tti�l <br /> Owner's Address % '� J�pply!f Owner Phone Number <br /> Fee Simple Titleholder Name �tVY a wH Owner Phone Number <br /> Fee Simple Titleholder Address <br /> O�DDRE `r""�'n'r�t-� { W�jj&? !p`+� A "�C*FeW(Jrn A7-POW <br /> ` <br /> JS LOT# <br /> SUBDIVISION le PARCELIDd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDtALT r><l SIGN CJ = DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE = SFR = COMM P5< OTHER <br /> TYPE OF CONSTRUCTION [® BLOCK Q FR��AMMEEjy�G= STEEL <br /> DESCRIPTION OF WORK P-OVATe &fl+ 1 " <br /> BUILDING SIZE SO FOOTAGE � A.HEIGHT <br /> t. ;i . rr 1 art rr s rr-t r <br /> �y BUtLD1NG $ 'p(J�j VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL $ AMPS ERV7C '�_P___'tS51ENERGY Q W.R.E,C. <br /> ROGR <br /> PLUMBING S 1 10190 <br /> =MECHANICAL $ VALUATION O MCHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY OTHER R <br /> FINISHED FLOOR ELEVATIONS I-�- FLOOD ZONE AREA'AxH =YES NO 1 <br /> . . . . . . „•- - R- . . . �. . . . . . <br /> ILDER COMPANY <br /> J M <br /> SIGNATURE REGISTERED G R I! ' FEE CURREN Y/N <br /> Address 3'195 wyse Rd. Dajitn10N 4!&,' 4 Licensed CBGo59�iOCj-� <br /> ELECTRICIAN r COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE Cuftftet, Y/N <br /> Address ) 1� License# <br /> PLUMBER ( COMPANY �^ <br /> SIGNATURE REGISTERED I Y/ N FEE CURREJ, <br /> Address I Licensed 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE r REGISTERED Y/N FEE CURREN Y l N <br /> Address J License d <br /> OTHER COMPANY <br /> SIGNATURE l RFGisTER[n I Y! N FEE CURREN I YIN <br /> Address Licensed <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 wf Silt Fence installed. <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects ` <br /> OMM-RCIAL 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,Stormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&I 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 /> -i--i i.i i{ i i-i r -- li <br /> Directions: <br /> Fill out application completely. <br /> t 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 /> i Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot)Survey/Footage) <br /> Driveways-Not over Counter II on public roadways..needs ROW <br /> i <br />