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r♦�� 1 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 8� Cfl g"7 <br /> Phone Contact for Permitting <br /> -rrrrrrl-r -- -- -- - rrn t ppQ ^7 i� - <br /> Owner's Name LI>Cl?STL ij �7 op Owner Phone Number O Dv V / p�i - <br /> Owner's Address 3-7T� v - �li�A)b grit l� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address N A J <br /> JOB ADDRESS 7,l�/Q pe- `"yP PIP- LOT# <br /> SUBDIVISION PARCEL ID# —Gl!`4( �/� ��3c/oo OG16(? <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR ©�COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK I&V F S G7.ts, tI rm <br /> BUILDING SIZE 35 K 40 SQ FOOTAGE TOG HEIGHT 1 / <br /> UILDING $ dOG Aral VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 hPR RESS ENERGY QW.R.E.C. <br /> PLUMBING $ �b� �O& 9 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION IC.� � Q�I <br /> � �P lam- <br /> GAS Q ROOFING 0 SPECIALTY 0 OTHER l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES^ N <br /> BUILDER COMPANY V t4A "C:nDA l O M 'Aa <br /> SIGNATURE L REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE qA REGISTERED I Y t N FEE CURREA Y/N <br /> Address I License# <br /> PLUMBER f/ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;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 date. 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 /> Directions: <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 />