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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 Permitting ,LILL.660 <br /> 2- <br /> Owner's-Name �`� I�LG LV G ? Owner Phoft:Number I �q�7I� 6, <br /> Owner's Address 53� C ' 3LVD 7�pi�y/�rt«cS.. Owner Phone Number. <br /> Fee Simple'Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS GC 1 - J LOT# <br /> SUBDIVISION PARCEL,ID# "!(p�:�.� U0 0 O q I Qd ^ L-) 1 <br /> (OBTAINED.FROM.PROPERTYTAX.NOTICE) . <br /> WORK PROPOSED NEWCONSTR ADD/ALT SIGN Q DEMOLISH, <br /> R INSTALL B REPAIR <br /> PROPOSED USE _ = SFR 0 COMM ' Q: ..OTHER,, <br /> TYPE OF-CONSTRUCTION BLOCK- FRAME STEEL <br /> I)ESCRIPTION,OF WORK EEEIA LD LL-UCAL' E I V <br /> BUILDING,SIZE .SQ FOOTAGE <br /> =BUILDING. $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 6. AMP.SERVICE;��� PROGRESS,ENERGY.. 0 W.R.E.C:,- <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION " <br /> =GAS = ROOFING =': SPECIALTY•0, OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE-AREA. =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED -Y/-N<- : FEE CURREN <br /> Address License# <br /> ELECTRICIAN" COMPANY : V.n v (ri >e V • I G - <br /> SIGNATURE! �:LA ,REGISTERED- Y/--N .FEE C,URREN Y/N <br /> Address mg W-Gran License#,. . C �`30 0 <br /> ,PLUMBER COMPANY . <br /> SIGNATURE' REGISTERED Y:/;,N: . FEE.CURREN <br /> Address license.# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cURREN' <br /> Address Licensei' <br /> OTHER COMPANY: ' <br /> SIGNATURE REGISTERED` Y/ N FEE CURREN,- ` Y•/N•.r <br /> Address License# <br /> H. <br /> RESIDENTIAL Attach(2)'PIot Plans;(2)sets of.Bu III dIng Plansr"(1:)set`oi.6* roy,Forms;iR=O-W'Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storniwater Plans w/Silt Fence;installed: <br /> Sanitary Facilities&1 dumpster;Site Work Permit.forsubdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets.of Building Plans plus a Life_Sefety 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/Slit Fence-installed,- <br /> Sanitary Facilities&`.1'dumpster.-Site.W6rk.'.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`applieation completely. <br /> Owner&Contractorsign..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 lett6rfr=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 />