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813-780-0020 City of Zephyrhills.Permit Application Fax-813-780-0021 <br /> Buildin4,Department <br /> 2 <br /> Date Received f vl I Phone Contact.fo i Permitting. <br /> Owner's Name liIS , bem t"1 .' Q( . Own' Phone Number. <br /> Owner's Address : 2"l 11 1�� Owner Phone:Number.. <br /> Fee Simple-Titleholder-Name Owner Phone-.Number <br /> Fee Simple Titleholder Address t <br /> JOB ADDRESS. 4 q�(-I �v I `'e �I�L ► t �11` 5y+ l LOT# <br /> SUBDIVISION- 11 v� ©a�S / <br /> PARCEL ID# b3 .2� v2� <br /> !' ,-BTAINED-FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR: ADD/ALT. 0• -SIGN = . 0 DEMOLISH <br /> P.. INSTALL. e REPAIR. <br /> PROPOSED USE- 0 SFR Q COMM 0. OTHER..` <br /> TYPE OF.CONSTRUCTION '` BLOCK 0 FRAME` 0: STEEL <br /> DESCRIPTION OF WORK 11C Z� C'�S��o,/v S1 a\D O w l+in a i-f, <br /> BUILDING=SIZE SQ FOOTAGE= HEIGHT <br /> 1.VVJJ I VALUATION`OF TOTAL CONSTRUCTION <br /> i , <br /> =ELECTRICAL $ AMP-SERVICE 0 , PROGRESS:ENERGY :0 W.R.E.C. <br /> lS-` <br /> =PLUMBING._ $• rQ _ <br /> =MECHANICAL $ VAL'UATION.OF MECHANICAL INSTALLATION: <br /> =GAS Q ROOFING Q SPECIAL•TYI=: 'OTHER <br /> rlNISHED''FLOOR ELEVATIONS' 1Z. FLOOD ZONE AREA =YES NO' <br /> :BUILDER OMPANY <br /> SIGNATURE REGISTERED _ . ' /-N -- .FEE:CURREt _Y/N. . <br /> Address. . yd f Vlil 1'' :� ', License# <br /> ELECTRICIAN !;, ;COMPANY <br /> SIGNATURE REGISTERED, Y/ N- .- ,FEE CURREN- - ; .Y/'N.. <br /> Address License# <br /> PLUMBER. ji . COMPANY <br /> SIGNATURE ,REGISTERED Y./ N' FEE'CURREP ;:Y/N>. <br /> Address License# <br /> MECHANICAL COMPANY. <br /> SIGNATURE REGISTERED' Y/-N FEE:CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED` ' "!Y].N _-. . .;FEE.CURREN` -YIN <br /> Address.. License#- <br /> RESIDENTIAL Attach;2,Pldtt�Plans;2 sets;of.'Building Pians;(1:)set!of;Energy Forms;R 0=V1/Permit for.new construction, <br /> Minimum,ten`(10)'working days after submittal date:.Required'onsite Consfriiotion:Plans,StIormwater Plansw/Silt Fence installed, <br /> Sanitary Facilities&Il dumpster;.Site Work.Perrnit for subdivisionsflarge projects --- <br /> COMMERCIAL Attach:(2),complete sets of Building'Plans,plug,a;Life-:Safety Pa6e;,(1.)set of Energy.Forms.R-O-W Permit for.new construction:_ <br /> Minimum ten`(1.0)working;days,'after-submitt6[date::Requiced°onsite;-Construction:Plans;Stormwater:Pians-.w/Silt:Fence installed, <br /> Sanitary;Facilities.&'1 dumpster.•Site Work.Permit'16r 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 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 SeL. <br /> rvicg U' d'r d A/C' Fences( oUSurvey/Footage) <br /> Driveways-Not over Counterif n.pubIl6roadways..needs.ROW i� <br />