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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r S i7 2 <br /> y Phone Contact for Permitting /J �j l <br /> Owner's Name tb%'/ Q/n / � - Owner Phone Number -.2 <br /> T' <br /> Owners Address Q ./� ,�� �SS LjJ�� l'rV O3-w57/ <br /> ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> /� � �J? /' �} <br /> JOB ADDRESS 3y/t� //1,? X / y", , 'J,J /`I r7/ �qL J J vLOhT# / <br /> SUBDIVISION `/ Ql� PARCEL ID#-`%��-"o�� -low -0%100 `c9zI <br /> _ (OBTAINED FROM PROPERTY TAX NOTICE)DEMOLISH <br /> WORK PROPOSED e NEW coNSTR®/ ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q p <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE J HEIGHT C� <br /> TI"1"f"IT19®J�ITIT1�Pf�I�fY1TfTrmi®�rYPPfTI'°`I"r�rTIT1TT'{9�P�F'Tl"4�fT�P'P'fY.�f rl"'tP�IT1"9T <br /> =BUILDING $�/.0 <br /> 01) <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ l� AMP SERVICE Q 'PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 44- qGAS <br /> J <br /> SPECIALTY <br /> FINISHED FLOOR ELEVATIONS ROOFING 0 FLOOD ZONE A�RFA OTHER <br /> . =YES N� <br /> 4::�. . . . . ......- ��...P.4.�.._..��...-7... . •. • • 0�•L�f <br /> 00 <br /> BUILDER /wr ?` <br /> SIGNATURE f� G/,1I��/J" REGISTER Y/ N FEE CURREN /' Y`/N / �V <br /> Address I% License# Crb�l. /a r �y �V�✓�t(�� <br /> ELECTRICIAN /' rUN/7 C J COMPANY GL! Y PG I/ G art J <br /> SIGNATURE REGISTERED �/ Y/ N FEE CURREN <br /> Address �U,. cti?S l Cyt� ( 1 s 1 r S 33Sdl�� License# �C 13LI 6 0? / <br /> OMP (p <br /> PLUMBER /�j�„ CANY /Lf �[ <br /> rr C-41- /�YQ I 64 <br /> SIGNATURE /� /� REGISTERED Y/ N FEE CURREt, Y/N <br /> Address 7 br e l / / License#MANY `/ <br /> MECHANICAL � vv� 7c, `R IST RED Y/ N FEE CURRE� 'Y/N/C <br /> SIGNATURE �//� / <br /> Address 41z f�4 Ad t/ l 33s r License# D/l3 Z Q <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIt111I11111111111Illtlllllllllllltllt11111111111III11111I1It <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 subdlvisionsAarge 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 /> ions: <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 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 />