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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Ds9 9}_ 5 <br /> Building Department p Z � * ? 2 q <br /> [� <br /> Date Received Phone Contact for Permitting ( 2 -( ) ZZZ — �T 0 7� /�/ J / <br /> 1 1[I L t i H 4, <br /> Owners Name / � S µl94• D4Ve Owner Phone Number <br /> Owner's Address / ve ✓, raw Q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �� <br /> JOB ADDRESS nn �Z/ low f`^��e�t �foke A✓ LOT <br /> SUBDIVISION rh O%16t Q4V k— PARCEL ID# 2(P Z5 2/O NO 00006 0006 <br /> w� (OBTAINED FROM PROPERTY TAX NOTICEI <br /> WORK PROPOSED NEW CONSTR B ADDIALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM IJ OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME = STEEL 0 <br /> DESCRIPTION OF WORK f` r(f Y.014 bO A GiS LGw war t. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> '3rx-lr['I[CIE'CIC'4TCL IRC�CK'C�Z�[�['t>E'C'�Z'�In['C'CI[t'IC'cCI[i'�CEt<-Cs'i"�'�'><'.E�-sCr EC-RT+[�C�L-i:IC-CIG"£) <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ go� AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> n <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address j��/ License# / <br /> ELECTRICIAN COMPANY "7%91-0 94& /a&,J <br /> SIGNATURE P 2 REGISTERED Y/N FEE CURREN <br /> Address l(6 7-16 r� O 7 I License# G goo&7?, <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> 1.1111.1i:t.11 Its If9111:.1111199111111.1i11.211.1 all 1I.iiII.2.111i11E111-111111.211 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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.(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 />