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813-780-0020 City of Zephyrhills Permit Application Fax 813ae0-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name J S/�1f� ^ y�/' 3 Owner Phone-Number• <br /> Owner's Address 7 a Z Z_-PJ ✓ G� . Owner-Phone Number. -, <br /> Fee Simple'Titleholder Name" -- Owner Phone Number r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0 /�I/Z4 v� D+� �✓ <br /> SUBDIVISION 5, vG/t p A j �} <br /> PARCEL,ID# .IQ 3 ' (p..•' -1—•© ll -(✓I.�IIUO- ©Ui <br /> (OBTAINEMFROM PROPERTY TAX NOTICE) <br /> WORWPROPOSED" R <br /> NEWCONSTRB ADD/ALT Q SIGN ./=0 . 0 DEMOLISH <br /> INSTALL REPAIR . <br /> PROPOSED USE Q SFR -COMM OTHER .: <br /> TYPE OF CONSTRUCTION' 0 BLOCK' Q FRAME [ STEEL 0 <br /> DESCRIPTION,OFWORK, <br /> BUILDING SIZE "�^ �;SQ FOOTAGE HEIGHT _ <br /> ILDING <br /> O 0 a VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP:SERVICE> 0. .•PROGRESS_ENERGY 0 W.,R.E.C. ., " <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION ORMECHANICAL INSTALLATION <br /> =GAS ROOFING 0:: SPECIALTY 0 OTHER. 6 i� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 'NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/:N "FEE CURREN " i hN .. <br /> Address ' License#..f, , <br /> ELECTRICIAN COMPANY <br /> SIGNATURE` REGISTERED <br /> Address License <br /> "PLUMBER COMPANY, <br /> SIGNATURE REGISTERED Y/.tN, F•EE CURRa Y./•N <br /> Address License# <br /> MECHANICAL COMPANY. <br /> SIGNATURE REGISTERED Y V N 'FEE CuRREh <br /> Address License <br /> OTHER, r C� COMPANY'. <br /> SIGNATURE REGISTERED"' � YVWN <br /> Address �il�t [_/�Z �"�' 'License:# fly: 0, 7 <br /> RESIDENTIAL At(ach'(2)"Plot Pliihs;(2)sets of Building•Plans;(ljsef of Energy:Porms;R=Q=W'Permit•for riewaconstrtrction, <br /> Minimum ten(10)working days after submittal date. Required onsite;Construction Plans,Stormwater Plans.w/Silt Fenceinstalled,, <br /> Sanitary Facilities&1 dumpster;Site Work,Permit for_.subdivisions/large projects <br /> COMMERCIAL Attach(2)"complete sets-of-Building Plans+plus a L 06_ Safety?Page;(1)set of Energy.F.orms_R-O-W_Permit for new construction. : ::. <br /> Minimum ten(16)working days after submittal dale."Required onslte,Construction Plans;:tibrm' lit'&Plans'.w/:Silt•Fenrs:installed, <br /> Sanitary Facilities&'1 dumpster.Site Work:P.e t for,all-new_projects.Ail 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 ofapplication,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 />