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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Co/ntact for Permitting p <br /> Owner's Name /�/� Q p�C 12 P{/� Owner Phone Number p/�`" C17 <br /> Owner's Address % / �] I?� 16AC4 A ICS Owner Phone Number <br /> JV D <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �/ / /� <br /> JOB ADDRESS J7 /02 /I'�1�"7 2�/'�`�� r�/L,O L1OT# o2 U /1� <br /> SUBDIVISION %Vt.4 -c� Ulu PARCEL ID# a-C`J� .� -0 So- 067 V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL u REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q�( <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE o2 SQ FOOTAGE RG HEIGHT <br /> TIT1_1"PPPrP1�r7TIT!"91'T'rPt®PI�Y�IT1�rY'ITP"1"9i®��I�RT� 1"P"�1�r�rTF`iT <br /> =BUILDING $ Pyvv U ) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ U AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> •T <br /> BUILDER {.COMPANY Y L <br /> SIGNATURE Q�r REGISTERED I Y/ N FEE CURREN /N <br /> Address $-L ��~ ! �5 Rc4— License# LN C / $ �dJ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZIN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111 <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 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 dale. 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 /> . . . . .-H-i-f+t+l-4+t+i-f+let+l+l-1-i-I--1-t-1+I+i+i-I+I+F- <br /> Dtractions: <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 publicroadways:.needs ROW -. <br />