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813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department Date Received Phone Contact for Permitting O Q 1 -Ip f <br /> Owner's Name �7�7 /rk 0 er Phone Number <br /> Owner's Address / /� e4j Q p/­,-�/^. ?h 5'y/ <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Ow i er Phone Number <br /> Fee Simple Titleholder Address /L / <br /> JOB ADDRESS F77 Ct /1� / /l: lS L �3J 7 LOT# a�fr <br /> SUBDIVISION LdIrS PARCEL ID# rJ y r°1 -0/70 '06be)v <br /> OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = $IGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLO(C'K' 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> ✓ ? /- J� D d ak r.l� <br /> BUILDING SIZE 1�/ �1d ,(Y i SQ FOOTAGE HEIGHT <br /> T1 . . . . ITrI'r.I I I I ICI I I"'I"I I I I I . . . . . .T�7T" <br /> =BUILDING $/r100.O U VALUATION OF JUIALUL)NO�IRUGTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ Lp <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .�,'-:�.=-r.--.�.-.-.��'o�:-'r'r:-.-.gyp.--ra •�-^c-..j,'.R''.�P..-rt•-:�:-�.�/i-/-_Ft�a-;-:-t��'.�' }.�.:-tom <br /> BUILDER /%%?G �x'• 1 •1 J-COMPANY• G1 J`AT� �G! /n�l�//L �• '(j➢�� <br /> SIGNATURE // U REGISTERED Y/ N FEE CUR b <br /> Address CL��L �7�• /{� ZAP is rV� License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y,/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED YI/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address Ucense# <br /> IIIIIIIIIIIIIIIIIIIII11111111lIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <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,Constr[iction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large proj cts <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of nergy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All cor imercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> -1-f-i•f-F-1-t•-�i-t••I-1--t1-��1-i-1-{.•I-1--I�•1-1-f-I-del--1-�1--1-I-t-i-R-1-1••I••f� 1--1-i-1-6-.f-.4-f-1�-4 1b-1-t .-I- <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 notarl ad 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 Counler.if on public roadways..needs ROW <br />