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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ' <br /> Date Receive, g l3 g� _ Epp e <br /> Phone Contact for Permitting _ <br /> -r-r-ri�-r-rt'- �p - -tom-- - -rr-r-i-r <br /> Owner's Name 1 Y 1 i�CpWNI\ D pw S t. Owner Phone Number <br /> Owner's Address 35 9'[ Z' l W��� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �!' I <br /> JOB ADDRESS �3 �Z ,y,��hbt,5- A M WA LOT# <br /> SUBDIVISION ISA0-a tl Lr" ` PARCEL ID# OS-7�-ZI-0(60-b0Sb0 --'r'D30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 0 DEMOLISH <br /> e INSTALL e REPAIR' <br /> PROPOSED USE = SFR = COMM = OTHER F Swcv,,"It r0 I <br /> TYPE OF CONSTRUCTION = BLOCK 0 .' ,FRAME = STEEL Q /� <br /> DESCRIPTION OF WORK lA) IJ9 e171 JC�' SG3LV�lM l U ( L p'L"e <br /> BUILDING SIZE SQ FOOTAGE I? D HEIGHT [V'Cffi e <br /> UILDING $ �2rG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY <br /> W.R.E.C. <br /> =PLUMBING $ CIJ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION e+yJG \ <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO <br /> BUILDER Gt� `� v COMPANY <br /> � �`TTe.� .S � n <br /> SIGNATURE 111 REGISTERED Y/ N FEE CURREN <br /> Address >,5q0 11Q RAt>A k)L. h n License# C <br /> ELE TRICIAN COMPANY 9 riS <br /> SI ATURE REGISTERED Y1 N FEE CURREN Y/N <br /> Address Li��ce��n--sff--e# pp <br /> PLUMBER J( ` COMPANY r�� DSztl` ��ls <br /> SIGNATURE 1 REGISTERED Y/ N FEE CURREN I Y/N <br /> Address 135 bl� pQ�DA q(�� j`nw >e' License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> Illllllllllllllllllllllllllllllllllllllltllllllllllllllllllllllllll <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,Slormwater 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 contractor)or Power of Attomey(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 />