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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> < Building Department <br /> Date Rec®ivied (S-/`zq 120 Phone Contact for Permitting 2I <br /> Owner's'Name -4 C'1)J gepll 0+oe- Owner Phone Number= au <br /> Owner's Address 1�0, �G 10/� p� •,e+ T.L � OwnerP_hone:NumbeV <br /> Fee Simple Titleholder,Name Owner Phone-Number- <br /> Fee Simpler Titleholder Address <br /> JOB ADDRESS q�S G ITV h PL 335 (-(2 LOT# <br /> SUBDIVISION- PARCEL:ID# —2-6— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEWCONSTR ADD/ALT Q SIGN Q = DEMOLISH <br /> R <br /> INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR Q ._ COMM Q: OTHER <br /> TYPE OF CONSTRUCTION,: 0 BLOCK Q FRAME " 0 STEEL <br /> DESCRIPTION OF-WORK A c C%n W OLAJ �o� <br /> BUILDING SIZE F_ DSQ FOOTAGE HEIGHT <br /> BUILDING' $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $: AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONVi <br /> ! ,! <br /> =GAS = ROOFING Q• SPECIALTY._, OTHER <br /> INISHED°FLOOR ELEVATIONS, FLOOD ZONE AREA' YES NO <br /> F _ <br /> r BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/,N.' FEE CURREN Y/.N,' <br /> Address License.# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN, Y/N <br /> Address License# <br /> PLUMBER COMPANY , <br /> =�41' TORE REGISTERED Y:/'N FEE CURREN Y 7 N <br /> Address o License=# <br /> MECHANICAL 'COMPANY l Eon�1� p so I Nvn5 Irl C_ <br /> SIGNATURE' �e 5. REGISTERED Y/,N FEE CURREh <br /> Address. 21g w Ar• Nl l l( r k3 WC( ' License# C PC C,I S Z Owl l <br /> OTHER,• ZOM PANY <br /> SIGNATURE REGISTERED Y/ N FEE;CURREh - Y/N <br /> Address L-icense.# <br /> RESIDENTIAL Attach.(2)-PlobPlans;(2).sets•of Building.Plans;-(1)set,of Energy.Forms;R-O-W.Permitfor new-construction; <br /> Minimum ten(10)`woridng days after submittal`date.-Required onsite,-Construction Plans;Stormwater Plans w/Silt Fence-installed, <br /> Sanitary Facilities&1 dumpster,Site Worle 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 submittaLdate:, Required.onsite,Construction Plans,:Stormwater•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. (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,contracYrequired)h <br /> Reroofs if shingles Sewers Sen& Upgrades'A/C,'_'. __Fences'(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if.on public roadways:,needs ROWW, <br />