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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name C( �([ Owner Phone um er v���'�yQ <br /> �1 zu)its <br /> Owner's Address 7 pl Y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address"" n,., / A <br /> JOB ADDRESS �poZ eft/ `Tt7T 1ZOkS 1V) G{f! S �3 7 �yLLOOT�#� I <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN = = DEMOLISH <br /> • <br /> INSTALL a REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK y� Ct,r, JL/Qa-J 4J- G"e- <br /> BUILDING SIZE v k 7) X SQ FOOTAGE �!p HEIGHT <br /> TITTr'&'�PS���'I�PTO<�AT�"?-r Prl'T'�'rTi®I�ii'F9TT'�ITTI'Rm1�r�P�P'1'TRTIT�P'i�IT'�P'1"1'9TfTI"PT <br /> =BUILDING aD a )\ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ !, V AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ k,Z23l1 ^ d V <br /> f <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> 2If <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA a YES NO <br /> . . . . . . . . a-. . ram.t- .. .. .... ...�v�t�. .l-�-ie. . L/-.I.-r.e <br /> BUILDER COMPANY a a Pf,S <br /> SIGNATURE a REGISTERED Y/ N FEE CURREN I Y/N <br /> Address ry License# C G/02 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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 Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllll <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,Stonnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge 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,Stonnwater 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 /> irecti [--4-F-0-�6-#1--1--1-1•-F-1--1--L-1--1-b�d�-4-t�1-1--1-1-a-l=t--F- <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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of coglr vrequired) <br /> Reroofs if shingles Sewers' _!I:'Servige Upgrades'A/C+`: ,'Fences(Plot/Survey/Footage) <br /> Driveways=No(over Cour}ter rf,pn public roadways.,0eeds:F20W <br />