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Ij <br /> / 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ¢/ <br /> Date Received Phone Contact for Permitting U/ �+— o <br /> Owner's Name & r L v ,r/S Owner Phone Number O 2/ ?M 0 <br /> Owner's Address �. /✓G'�S Zr r J 3� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /V f ASS -s� LOT# <br /> SUBDIVISION F PARCEL I D# ODa -OU�C Z) 022-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION — BLOCKS 0 FRAME = STEEL <br /> DESCRIPTION OF WORK ��Gf/ �f�� d✓►i 1 1 5 <br /> BUILDING SIZE 7 y7� SQ FOOTAGE HEIGHT <br /> =BUILDING $ /�� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 6 15- AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING va <br /> =MECHANICAL Is <br /> i VALUATION OF MECHANICAL INSTALLATION O / <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER / COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �/2,d C C/L�� �t? /!?Gvf License# I r <br /> 335�3 / s� <br /> ELECTRICIAN �r� �Cy COMPANY J/v L//l/e L 1 G �/ <br /> SIGNATURE �/ (/ REGISTERED Y/ N FEE CURREN <br /> Address ll�VA 5oST�a rC icense <br /> Z L <br /> PLUMBER GA�� COMPANY <br /> SIGNATURE --� REGISTERED Y/ N FEE CURREN Y/JN <br /> Address ) W e T Je ✓SONS r L License# C�1 FC <br /> MECHANICAL COMPANY Soy— C+^r1 Cdr4, �/► L�G <br /> SIGNATURE q REGISTERED Y/ N FEE CURREN Y/N <br /> Address Yt'O( tr Z 6SG cdebJ 4,_ License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <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 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. (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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />