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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r �� Phone Contact for Permitting I3 6 l Q - --1 Q <br /> tt [ z [ >rae ,,// aEisEee Q O/� d <br /> -74 Owner's Name /v+C .4- � j(L Owner Phone Number O 13 I"[�"SD <br /> Owner's Address 51,51 13i 5/' 2fpit riti;1IS C/ Owner Phone Number <br /> Fee Simple Titleholder Name N !k \0/-k Owner Phone Number <br /> Fee Simple Titleholder Address S�51 3 5.5 T 2 A, Is 9. <br /> JOB ADDRESS S6yT 7,E k T/• LOT# <br /> SUBDIVISION F _,,;PARCEL ID# iI EV-6-aI-W10— df`OO -Q1 SQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER I&JIA.,42719W y(J <br /> TYPE OF CONSTRUCTION Q //,, BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK C/1 toISQ <br /> 1; 06 "S f it /i✓•rIA&✓S S <br /> BUILDING SIZE FOOTAGE /mod` HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ / =% <br /> =MECHANICAL $ VALUATION OF M CHANICAL INSTALLATION. <br /> =GAS = ROOFING Q SPECIALTY = OTHERff <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 0 YES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED JaIN FEE CURRENJr <br /> Address ?.-rr, Sr %L1S' �L�,�S Z License# C&if /Z a <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED, Y"/N-, FEE CURREN Y/N <br /> Address License# <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/Nj FEE CURREN Y/N <br /> Address License# <br /> El � � f lll< • ltlF lallliili = lilititll tiiitltll[ i [ ll3EIBili! lf $ ±liliiltltl« iRIF 1it � iiliE $ � ( i6 � ifI111liti1l <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 dumpster,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 />