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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> eived / 7 <br /> Phone <br /> Date Rec Contact for Permitting fJ <br /> Owners Name a ss le! a !ie� �t V gl Owner Ph one N u m ber <br /> Owners Address 1e (M• Chi t$ �` Owner Phone Number <br /> Fee Simple Titlehold�lrn Owner Phone Number <br /> Fee Simple Titleholder A d �) // / 2` <br /> JOB ADDRESS I /V� (�{t� Aim- z g 11 S ,�-1 -63Y Y l �ry�L�O�bWT# a{t�A <br /> SUBDIVISION C[ YIZD PARCEL ID# 7 1��I QZ)gd c b—I��U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT Q SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 6noer-Y �Jcr` SC a./D?}Y► o cSL[.14 <br /> BUILDING SIZE / SQ FOOTAGE HEIGHT <br /> TPITrTP�iTR'PTf�Fl01"iTl�l�l'�ITPT�IY7�ITIRTi"4�1"fTPf���ITrTTP'I�IT'rP�trl'9TPi�P� <br /> BUILDING $ �p�(] VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. V/ <br /> =PLUMBING $ jl/ vI `\ `n 7 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION N 11�11" <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> ..r'T• •. . • . . . . .••. .� Ise-i-p .�� . . . .. . . . .. . ... . . . . .•. I . .- <br /> BUILDER �.J v COMPANY UltS /4)fe <br /> SIGNATURE WWW /- REGISTERED,-_/�( Y/ N FEE CURREN I Y//N <br /> Address &19 111 Rt `NC r d License# 06(p.0 7 <br /> zh.lt.1f �J <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA I Y/N <br /> Address License# <br /> 11111111111111111111111111111lIIIIIIIIIIIIIIII'IIIIIIIIIIII111111111 <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,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge 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 /> �-1-•I�1--1®1-f-f-1-1-1�-F-t-d-i.-1-1-4-1-f-1-i-F-{�I•-1--F-IMF-1-d-L-'.--i-R-1--4-1-•F-4-{-1-•�I--F-i-1-I�f•-i-4-f-�-F•�1�••i-4L-l-B-l- <br /> Directions. <br /> FlII 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 />