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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permittirr <br /> q � <br /> Owner's Name R&`U%IIW /L.Ife- tO PPL.L Owner Phone Number 61FS -Z{r7- iw 1 <br /> Owner's Address 3 1 a7 C UILLe"% �' � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 .I�/�k a �y I <br /> JOB ADDRESS f I CULLe� ZC_ h LLK F-L LOT# r b <br /> SUBDIVISION I <br /> S I,tJJ PARCEL ID# 03'�"21 -o l�fO-O�oop-tSl6b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONsTR e ADD/ALT = SIGN = = DEMOLISH <br /> FKI INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLO <br /> /C <br /> �K a��0 FRAME = STEEL = <br /> DESCRIPTION OF WORK /6eT�b Ace- cn t FOB TZG W1"i 00,AJ3 b <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> E�WBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 10 { <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALl-AT18N bb6 (nfi�(��1 J c��(a,— <br /> =GAS = ROOFING 0 SPECIALTY = OTHER ✓0 V`{ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED I Y/ N" FEE CURREN L11 N <br /> Address License# <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/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> gu.minq <br /> � HER m�9 COMPANY I� PCQ engce (,LI tee_ <br /> SIGNATURE / �nRpEE_GIISS_TERED N FEE CURREN (N,S, <br /> Address `��b �L s�� C,,t VUr— 31W LL License# C (ISOa c <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstei;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,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. (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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />