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813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department <br /> Date Received r / <br /> Phone <br /> / Contact for <br /> Permitting <br /> Owner's Name '��✓I S/LGL J7DlUQ✓� �7 T Owner Phone Number <br /> Owner's Address 7777 /^a�tG/il?JU S`4-J(JJ 49� i Owner Phone <br /> Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS / �S Lo/�` 24 <br /> /C"PS Ft j3ry Mtn LOT# <br /> SUBDIVISION •P �/C UG�S PARCEL ID# q")&-a )—Ot7DO -00107—dQ7t) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR J ADD/ALT I I SIGN Q 0 DEMOLISH <br /> I <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK0 FRAME Q/I/STEEL Q ,( <br /> DESCRIPTION OF WORK a//Q //p/-94 L✓- 7 Xt 1141 .0.4 &d ajo a <br /> BUILDI G SIZE y / SQ FOOTAGE + � HEIGHT <br /> Y ITP"i�Yi�l'"fmfmF'rr�i P'r�tT'TI�PTI�t'°9'°'P�Pr9"t®I4F'TT'isP'PT�ITIY'�ITI�r�lY1RT'F�F'�P <br /> BUILDING $7 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q ROGRESS ENERGY Q W.'R.E.C. <br /> =PLUMBING $ on <br /> ��/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0`1 0%4t <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �J r /) / ✓ „y�1. <br /> BUILDER COMPANY LNt , 4/ ___rS / <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N /p <br /> Address �7 �'� / /� �/t t S S// License/# J C /c2 <br /> ELECTRICIAN COMPANY /` /� C!>+•G�/�/C <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address -r � tS 0?5/ Cr slSti/S rr S 3S� Liceense�# �./ 0d�s/� <br /> PLUMBER /L-` COMPANY /�f- dnsf)jI �/926 "/K J <br /> SIGNATURE !!! //REGISTERED Y/ N FEE CURREN Y/N <br /> Address y �/t! 3� U� / License# IG / j &a,, <br /> MECHANICAL /L^Wv_l / l✓l Zee COMPANY RCS <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address s� Gr �fZf � License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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,Stonnwater 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,Construction Plans,Stonnwater 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.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 Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />