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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � J �_ Q <br /> Date Received Phone Contact for Permitting <br /> ,,,,(( [[[[[ aa <br /> Owner's Name �e( n Clr Lt Z "' Owner Phone Number I J e <br /> Owner p6's Address 51 Li i7 t . • Z'e 1 NY +I I s. Owner.Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address y p L I_ <br /> JOB ADDRESS SsNI F Sr Ze Yr" i'h tts LOT# I1 11 <br /> SUBDIVISION PARCEL ID# Z d©� `• 60. 6 11,61 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NE <br /> CONMALL 8 REPAIRT. SIGN = DEMOLISH <br /> PROPOSED USE EEr SFR Q COMM. = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK A2i1h6VZ d 'Z e, -�✓ S r z,�. <br /> BUILDING SIZE SO FOOTAGE I HEIGHT <br /> c;�cr c�c c t rcorrcccccc rrrcrc s iE r4 c cceccs c;cccccCe s cct-rccc;cccc c ccc E c c cc, <br /> =BUILDING $ lX y 3,1 1P- In VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R EC. <br /> =PLUMBING $ �• I {�Q� V J i1�1(/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING '= SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA _ =YES yN0 <br /> BUILDER COMPANY' �' z 1iI-li•�-c�tC(,-h1n Ire lJi3 Whr�e, ffo4 1 �� <br /> SIGNATURE y� REGISTERED - Y/N FEE CURREN - Y/N ��S (Yt'� <br /> Address. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGIS I Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE :REGISTERED'.' Y/N' FEE CURREN Y/N' <br /> Address License# <br /> MECHANICAL COMPANY. <br /> SIGNATURE - - REGISTERED Y/N FEECURREN Y/N - <br /> Address license# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> 1881[a8a,a811181-1®.a[.818111'1.8111-18l81111881 all atlas 11[.188L8/12-1.9.118111 <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 onste,Construction Plans,Stornwater Plans w/Silt 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-O-W Permit for new ConsWction. <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.A[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,n.crzed . <br /> If over$250D,a Notice of Commencement is'required.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(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 />