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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> k L Phone Contact for Permitting I Z <br /> I <br /> ... ... .... ..... ........... <br /> Owner's Name _KLl 0-0eC2212AA( OA Owner Phone Number� <br /> Owner's Address I I C) rP�_.w Q0'pe- C Owner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F__ri LOT# <br /> SUBDIVISION PARCEL ID# -ZG DL L OOSO-00000--C 00 t <br /> (OBTAINED FROM PROPERTY TAX NOTICC) <br /> WORK PROPOSED NEW CONSTR ADD/ALT u SIGN Q DEMOLISH <br /> R. INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM L__J OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Ln "A I rA RX,L k�C Q k)0, <br /> BUILDING SIZE y- SQ FOOTAGE HEIGHT <br /> .......... <br /> D�IBUILDING $ VALUATION OF TOTAL CONSTRUCTION 00t 000 <br /> ELECTRICAL <br /> . $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ AIVVALUATION OF MECHANICAL INSTALLATION <br /> rV <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I i i i i 2 i i i i i I i v i i I i N i i i i i i i i i V i 2 i i I s 0 V i i v <br /> COMPANY.BUILDER <br /> SIGNATURE REGISTERED I _Y/ N FEE CURREN Y/N <br /> -. <br /> Address <br /> K"4 License# ccyc-k <br /> .ELECTRICIAN COMPANY <br /> SIGNATURE az_ REGISTERED Y/ N I FEE CURREN <br /> Address License# <br /> E_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Y L N_J <br /> Address License# <br /> OTHER COMPANY L_ <br /> SIGNATURE REGISTERED Y/-N FEE CURREN <br /> Y_L N_j <br /> Address License# F-- <br /> HHH HHH HHHH 1 111111211 HHHHHHHH 4 HHHHHHHHHHHH! <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,,Construcflon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties,&',I,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 /> 144:9 <br /> Directions: <br /> ................... ....... <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 /> Rerooft if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if onp yJ41k,'roadwaya..needs ROW <br />