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813-780.0020 City of Zephyrhills Permit Application Fax-e13-780-0021 <br /> Building Department <br /> bate Received Phone Contact for Perrnittin - <br /> Itaaaaaaa ata�[a / <br /> Owner's Name ���vti Uv j� Owner Phone Number �Q!�Ptrp - Q s�G� <br /> Owner's Address ��3 7 �N� A Owner Phone Number p 1?-19 1r* 7 <br /> 691 <br /> Fee Simple Titleholder Name 7a,�H� Dd `'yr� Owner Phone Number <br /> Fee Simple Titleholder Address y 7, ,/ <br /> JOB ADDRESS vD ST" y ( /r / LOT#_ 7-rL�y1 <br /> SUBDMSION PARCEL ID# �'Z4D-7-r <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER O <br /> TYPE OF CONSTRUCTION 4= BLOCK �jQ` FRAME' 'J= STEEL = <br /> DESCRIPTION OF WORK /�� LU/� r v/�/ f����/7 ©U/� W17117710 <br /> BUILDING SIZE 33 y 9 /� SQ FOOTAGE I 7e4l HEIGHT <br /> cccrcca cca cca ccSZ_4 CICCa Cca�ca a cca a C CCCC-�C CS CCCCCCC-C TS s CrCC CI CTC crCICU <br /> =BUILDNG�---- 5-- ___ l <br /> _ v VALUAT�ON.OF_TOTA�L CONSTRUCTION:tZ, <br /> - 'v <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. r <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> V , <br /> =GAS 1�4 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER /yI� `� O PANY <br /> SIGNATURE - ` r��° T ��REGISTERED"--`YTN'-- y EN~ Y/N <br /> Address (Dense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMP <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N °E CURREN L <br /> Y IN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I YPq <br /> Address License# <br /> aaaaaaaaaaaaaaaaaaeaaaaaaaaaaaaaataaataaaaaaaaaa■ aaaaaaaaaaaaaaaaaal <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 onsile,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislons/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 onsile,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 />