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813-780-0020 City of Zephyrhills Permit Application �: G/L Fax-813-780-0021 <br /> Building Department �� ? �2 � /�"/ �"��" ����j <br /> J � <br /> Date Received �� 3— (� Pho�e Contact for Permitting -- <br /> Owner's Name (T/'A�G �/�++ b�IS �O� 17W�1`� � �Owner Phone Number Of�' �d " / `� <br /> a �!j ^ O�� J '�� `�v <br /> Owner's Address 7 1 D�"'1 r/"V� '� a�Owner Phone Number <br /> Fee Simple Titleholder Name d'/Jq� b/+ 4 /7D� nW� �AWner Phone Number �9 "" 7' <br /> Fee Simpie Titleholder Address �� �� f Y �'�'� � `� � �'�' `S �` ��� / <br /> JOB ADDRESS 7�o� Gt�� S �U/v ��''L � LOT #� <br /> SUBDIVISION �'�' if D✓�' G�'l PARCEL ID# ��'� aC ��/,, <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> , WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL 0 OTHER <br /> DESCRIPTION OF WORK GGJ Or'1 r� %t CG�t �C�G v�t SG <br /> / <br /> BUILDING SIZE O b O SQ FOOTAGE QO HEIGHT D <br /> � BUILDING $ � Q� VALUATION OF TOTAL CONSTRUCTION � 1� �� 3-1 � <br /> '`�_� <br /> � ELECTRICAL $ Z ,�^ O D� AMP SERVICE �D � PROGRESS ENERGY Q W.R.E.0 <br /> J /� <br /> � PLUMBING $ D � / / � S�,�S D Gf� � <br /> l� 1 <br /> � � S�� �� <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � D D �2 a�. L �.�. ) SA.E � <br /> GAS ROOFING � SPECIALTY Q OTHER �� � �p l ;�� � <br /> � � r(/ � ° `L N t �� �!� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �_ r` �„ � c,� <br /> c � �' � w„- J <br /> ; <br /> � � <br /> �3UfLDER � � COMPA Y ��C LS %/� C 0�S� G 1� b'�1 <br /> SIGNATURE � REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address J.t:';�/ � S• d i r:� �- �� License# � -�j � <br /> ELECTRICIAN � COMPANY U � ��� /�'�� C <br /> SIGNATURE V� � 1 � REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � ^ � License # � �i �C�.' � �� <br /> � <br /> PLUMBER , _� � 14 COMPANY <br /> SIGNATURE �'�� �� REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address Z� 3 �a �M cl License # �C. � <br /> MECHANICAL COMPANY �� � !/ � �� � � �Od('" C <br /> SIGNATURE �� � � � REGISTERED Y/ N FEE CURRENT Y! N <br /> / ��/ /S <br /> Address .�l � � aC KS /P License # �-�T� �� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <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 (3) 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 8 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 8� Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over $5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />