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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name H 1 1lo-ti ' Owner Phone Number <br /> Owner's Address M;L O)6, 14 y 1"Q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple'Titleholder Addresses f JOB ADDRESS S�O J J �� Z-r )-1 m),\)�s< 5 S H-D. LOT# <br /> SUBDIVISION PARCEL ID# —a 6J 01 CIo\o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE E� SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE G� �X 0/5 h SQ FOOTAGE !d7 HEIGHT <br /> =BUILDING ALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIC $ MP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ U OLK <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOVjV ^ ) (� <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO G( <br /> BUILDER / COMPANY �� a� GeR�c�'�a� �/�1C..✓ <br /> SIGNATURE `' REGISTERED Y/ N FEE CURREN Y/N <br /> Address 3o,9,y a c f I S q d ' License# <br /> ELECTRICIAN COMPANY DIM 4YajPa ��c d& 1;r'51 (19JJ Lflee*jC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address y/ �NYA/)U 33 5-VJ License^# ,Ee 00!)2570 <br /> PLUMBER ? � "� COMPANY 'e,nn S <br /> SIGNATURE REGISTERED N FEE CURREN N <br /> Address JI()k 110 !& ' 7 1 P It �S I FC 3 3SCra' License# �i�L' L a!!aa 9 a <br /> MECHANICAL � / COMPANY <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# e-yco <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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. (A/C upgrades over$7500) <br /> " Agent(for the confractor)or Power of'Atfornev(for the:owrier);would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.-. ... ,(ggpy.pf contract requited) <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 />