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813-780-0020 City of Zephyrhills.Permit Application Fax 513-7s0-0021 <br /> Building Department / <br /> Date Received �p--�. <br /> eP�hone:Contact.foaPermitting, 2 Q <br /> Owner's Name ®\�n.��C.V ' OwnerPhone Number f JI ''U S <br /> �� 66aaC 2 <br /> Owner's Address : � `► 6(I 1 J � � Owner,Phone Number. - <br /> Fee Simple Titleholder Name. Owner.P.hone•Number. ' <br /> Fee Simple Titleholder Address` <br /> JOB ADDRESS 1� ` I JZ t`�J �1 1� LOT# , <br /> SUBDIVISION (� F' 1\ PARCEL ID# tv. -t 1. ® " <br /> (OBTAINED;FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED 'NEW CONSTR; ADD/ALT Q SIGN. DEMOLISH . <br /> ... INSTALL R. REPAIR: <br /> PROPOSED USE 0 - -SFR ,_. .'COMM.- 0: OTHER <br /> TYPE OF'.CONSTRUCTION .0 BLOCK -FRAME- STEEL 0 <br /> DESCRIPTION.OF WORK 1v CAW O 1 <br /> BUILDINGSIZE SQ FOOTAGE= HEIGHT.- <br /> =BUILDING:'. $ <br /> VALUATION OF TOTAL-CONSTRUCTION <br /> =ELECTRICAL: $ AMP-SERVICE- = PROGRESS-ENERGY. :0 W.R.E.C. . <br /> =PLUMBING $' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ®/'ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED'FLOOR ELEVATIONS' ' FL"OOD ZONE AREA =YES NO <br /> :BUILDER COMPANY. Q t90� <br /> SIGNATURE ((�� REGISTERED /-N'- FEECURREN /•-N <br /> Address. "1 ��, A\( ',111W1 License.# CCC-FZk3N <br /> ELECTRICIAN COMPANY - <br /> SIGNATURE' REGISTERED, -Y/;N FEE•CURREN... .Y/N <br /> Address License# . <br /> PLUMBER.. COMPANY <br /> ,SIGNATURE :REGISTERED :Y/ N' , FEE-CURREN Y/w <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.CURREt. Y/N. <br /> Address.. License#- - <br /> ,:. <br /> RESIDENTIAL Attach(2•)?PIot:Plans of.'Buildlhg P.-:lans;(1)set of;Energy,,Forms;,R-0.WPermit-for.newtconstruction, <br /> _Minimumaen('10)_working days after-submittal date:._.equired-onsite Construction Plans,Stormwater_-P-lansw/Sllf-Fence installed, <br /> Sanitary Facilities&1-dumpster,:Site Work Permit,forsubdivisionsAarge projects <br /> COMMERCIAL Attach:(2).complete sets;of Building:Plans;plUs�a1ife':Safety,P age;..(1).set of.Energy.Forms..R-O=W Permit for.new construction:,: <br /> Minimum•ten'(1.0);Working days;after=submittal:date :Required-.onsit i-.ConstrucUon'Plansi:Stormwater:Plans,w/Silt'Fence installed, <br /> Sanitary,Facilities.,&'1-dumpster.Site Work Permit:for:all new..projects::AII'.commercial.requirements must'meet compliance-. <br /> SIGN PERMIT Attach(2)-se6 ofEng(neer'ed:Pians: <br /> "•"'PROPERTY`SURVEY:required.for.all.NEW-construction. <br /> �'IDlrections: ' <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 pubiic;roadways:.needs ROW <br />