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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> -rrrrr _ rrn <br /> Owner's Name I �tQ�V CS 1 �O utJ;�\S(rC.Iu Owner Phone Number <br /> Owner 3 s Address es C' V S S. a��+V o 5pr( Owner Phone Number <br /> Fee Simple Titleholder Name cJA" 1".r A S f-,36-4 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS A L y(r W N Q 1 LLS �L 3 J�(I LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/AL � SIGN = = DEMOLISH <br /> INSTALL EPAIR <br /> PROPOSED USE = SFR Q COMM F� OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK &0/Af akCJfi -�I/�lJ/O��° ,Q tpy7r/�L'xt STIr✓&-/=Dor lds AL-um; ow rJ,o fal Ir'(�a <br /> BuiLDINGSIZE I DOt7 S 1="' SQFOOTAGE C{I DO HEIGHT <br /> =BUILDING $3 q (�1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ Lv" AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (D- <br /> =R00FIN6) co <br /> =GAS = SPECIALTY = OTHER nn U C + <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO G/ C'{ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA LXIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA Y/N <br /> Address License t) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTE o I Y/ N FEE CURREn Y!N <br /> Address n� License# <br /> L©�Tr�►C.Tt2/ OTHER COMPANY Jo f�DO-IsIG +- r/�RAcYIa/EG <br /> �Dr�r SIGNATURE REGISTERED Y/ N FEECURREr Y/N <br /> Address 11 Ad VC Ia ) ;T 330i7 License# C— -131-11 6 <br /> 111111111111 1111 tllllllltllllllllllllllllllllllllllllllllllllllll <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,Stornwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/iarge 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,Stomlwater Plans w/Silt Fence installed, <br /> San"Facilities S 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 /> ' IIitlJltt . . . tt ' Illllitili.iillltit.l ' <br /> Direetions: <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 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 /> Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />