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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> � ✓ y Phone Contact for Permitting <br /> p os- <br /> Owner's Name ? Q m S Owner Phone Number <br /> Owner's Address J75' 3(o e tom Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7,��t! Pu hY 3!397 LOTT# <br /> SUBDIVISION OriraNS PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT �' SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION / BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK e)f;S-k/J4 lf'138 7 <br /> BUILDING SIZE I q/6y�� SQ FOOTAGE 6 a HEIGHT <br /> �r�rrr��r�r��r�r r�P-r1'rr-r�r-rr-rv�rs�rrrr-e"r'r"r'i-����r'rrl"c�rr'r��re'rrsatP <br /> BUILDING $>4 0 VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '" ` <br /> 1 <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> if BUILDER (� COMPANY G/ll s i'C 4 /��J/d!•! <br /> SIGNATURE REGISTERE= Y/ N FEE CURRENY/N <br /> Address /r'y� / Ad /�l/ 3'? 7e,t�J-- License# *66&0171-1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y!N <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License'# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111lI1111,111 [ III11111 <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/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge 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,Stonmwater 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 /> +F-Fa-3+f+1-4.1-k-t+1+6-�1-I-I+1-4-1-1+1m8-ICI+S-I+t+1..F.i-1+l�I+kl+{+N-ia1+1F-1-6-1-I+f+l - <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 /> brrveways-Not_mer Co_uriter if on'public roadways..needs ROW <br />