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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received t Phone �J < u <br /> Contact for Permitting <br /> Owner's Name �. .-L�/ �-1,L /Y1,0WAOwner Phone Number <br /> // wfl�•I�tTNe�)3y <br /> Owner's Address 7 !l ��dOU Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS JCLG[/�G�/'q �� e+. IS1 3�JY � LOT# <br /> SUBDIVISION r�C CGK s PARCEL ID#a7 07�-0/ -FWD -DOtdv—odgo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q ,} <br /> DESCRIPTION OF WORK u ld� ham` 'e LS>l" [ Uli�J�q� S i �QJ� <br /> BUILDING SIZE / SQ FOOTAGEP HEIGHT <br /> 9�PIYITI�Y��C�P"TP4�1"9�1®P'Y5��1'Y'TIi�P'1�1"rT'rTl'9'�'�r�4�1'T'i�FF'PrRTITI'Trl��l�f Ti9�PT�r'�1"1"T' <br /> BUILDING j_ /, VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (! (✓ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ * <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> V <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO n <br /> BUILDER /f S COMPANY 1�3G��[3'f TT L(IM I`JU L(/� <br /> SIGNATURE t-- f^� REGISTERED Y/ N FEE CURREN t Y/N <br /> Address J /L / G L lS j vZ License# 66&001 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATUR)= REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIII111111IIIIIIIIIIII'IIIIIIIIIII1111111111 <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 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 /> 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 />