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813-780-0620 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received /�� 1 �` Phone:Contact for Permittin 4 1 3 �� _��cf <br /> Owner's Name 1! {�.1� `C r (}`'1t� i! Owner Phone Number '�11-7`13- 3 W3 <br /> Owner's Address -Owner Phone Number <br /> Fee Simple Titleholder Name ^�' Owner Phone Number �- <br /> Fee Simple Titleholder Address (,� f <br /> JOB ADDRESS J , lG�! Y (i�1S ti - . J � LOT <br /> SUBDIVISION �- PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT' [� SIGN 0 0 DEMOLISH <br /> INSTALL 8+.,.: REPAIR <br /> PROPOSED,,,USE 0 -SFR. [] �COMM C] OTHER <br /> TYPE OF CONSTRUCTION '.' Q BLOCK Q FRAME C� 'STEEL Q <br /> DESCRIPTION OF WORK' _50-I on St n KS t L&)q 1 1 J kCt Mach itri, <br /> BUILDING SIZE'' �''SQ FOOTAGE HEIGHT, <br /> Q BUILDING VALUATIONiDF TOTAL CONS1`itUC7lON - <br /> EPELECTRICAL AMP SERVICE Q 'PROGRESS ENERGY W.R.E.C. <br /> �LUMBING Is 000 ` o <br /> 1 / <br /> QMECHANICAL $ VALUATION OF'MECHANICAL INSTALLATION <br /> =GAS Q ROOFING .0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS E � FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY` <br /> SIGNATURE REGISTERED Y i N FEE CURREN LjLN". _ <br /> Address License#' <br /> ELECTRICIAN: <br /> SIGNATURE REGISTERED Y l N FEE:cURRENt` 1 -YIN:-I,, <br /> Address !] e;h 61.. License#:;i C:,� :8 U d.l S � <br /> PLUMBER ` COMPANY <br /> SIGNATURE' REGISTERED. - ,.N,. ;FEE=cURREt�- Y N. ° <br /> Address SI OZ 1 SA -Z- Il S,l-L 3 3'S L( a. ucease#.. ,i 4.�T(,o,0 o5 .. �.., <br /> MECFiAi - COMPANY - arr� l S$Jv,}�� f'1 <br /> ► SIGNATURE• REGISTERED .Y,!.N . , FEE CURREP Y1N: <br /> ,;�pddress 3.�S ..�� License#. <br /> OTHER - ';COMPANY <br /> SIGNATURE,-'_=` -' " REGISTERED' Y! N<.a FEE CURREE <br /> Address - License#' " <br /> RESIDENTIAL;; ,. Attach(2)„Plot.Pla'n's;(2)sets of Building:Plans;(1)'set of<Energy Forms;_R=0-1N Pemilt for new construction, , <br /> •<Mlnimum;ten(1.0)worktngdays after_"submtttaGdate::Requlresi onsite;_Constriicson:Plans;Stormwatet'ptans w7 Slit Fence Installed, <br /> Sanitary Facilities&_1;,dumpster.Slta Work Permit#or subdIvi, sllargo projects <br /> COMMERCIAL Attach(3)complete setsof Building Plifns plus a'Life Safety Page,(1 j sat 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 dumpster.Site Work Permit for all new.prolbets:.All commercial requirements-must meet compliance <br /> SIGN PERMIT Attacfi(2)'sets of Erigineered;P:.lans:i: <br /> ""PROPERTY SURVEY required for ail NEW construction., <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. (AIC upgrades over$7500) <br /> Agent(for the cioMractor}or-Power of Attciriiey{for ttie owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of-Application-Only)- <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> . 4 <br /> �r <br />