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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 / <br /> Building Department ,Z#V <br /> Date Received a Q Q <br /> q Phone Contact for Permitting L7 - <br /> [JKXaIt i[ WILE[[ 1 <br /> Owner's Name 2 J' 1 r n Owner Phone Number 3 ��g• �)01 <br /> Owners Address 3 L��taAj i L v Owner Phone Number <br /> Fee Simple Titleholder Name 4 LL�7� {/O`w(�n�er Phone Number f ?� <br /> Fee Simple Titleholder Address A-7-1p-) ! l 1�n�-Jn Ld o\C1 O 1P`� q 8 6✓4 <br /> JOB ADDRESS �t:M� r �` v O—)J (,-1'U ^^��LOTT## <br /> SUBDIVISION PARCEL ID# tlq 'OI�+L 6 Or <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED El INSTALL <br /> CONSTR ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTIONQ BLOCK <br /> �M/pQ FRAME = STEEL = <br /> DESCRIPTION OF WORK s U C O - (h5w l I /�A <br /> BUILDING SIZE SO FOOTAGE= HEIGHT � !1 t ^ �/� e C(C.a �lAr +�1 <br /> =BUILDING - $ VALUATION OF TOTAL CONSTRUCTION Of OI � ) C � o <br /> �o lcuo bkvL-* <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ /�r VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 99. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY 0 U V q.LL o.+n <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address T7 �1[.! t�1 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN <br /> Address License# <br /> :LI.L[.LLi_LZ,[_!_[.[.CZ.i..Q.LLi.Li.Z_!.i_Q.Z.i[C[_i.L[.i.i_!.L[_i.il.LLi.Q.i_Q_L(,Li_LLLi,Z_LL[.■.i_!i.[.i_i.l <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 Aftomey(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 />