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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact fw Pertnittln <br /> TITf - T T — <br /> Owners Name } 6�° 7G � Owner Phone Numbsr �' 7 �� 30 <br /> OwnersAddress �7',��5 Th J7, � ({I OwnerPhonsNumber � —� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titlsholdar Address <br /> JOBADDRESS 9 4- 50 5ou�, �• LOTN � <br /> SUBDIVISION PARCELIDN ����?I� -(� ()() � 7O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEw GONS7a e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Csr/1 �(/I �-�� /�- tf �r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> �BUILDING $ � VALUATION OF TOTAL CONSTR CTION ��R ab <br /> QELECTRICAL $ AMP SERVICE � � �� PROGRESS EN ����� , �.R.E.�� � <br /> �PLUMBING $ p � — � O `� � � � � � � ') / <br /> � !/ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS O ROOFING Q SPECIALTY � OTHER � �'�L� ���� <br /> FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA �YES NO Q �� • <br /> ��r co+rifi" <br /> BUILDER ��� D � ✓�¢� COMPANY /' S �AYJ �( (o� '�/4sS(jCai� <br /> SIGNATURE REGIS7ERED N FEE CURREN Y/ N <br /> �d�� � � • �r• � �l. � � � 3 �a43 License # C /5� /5 Zo <br /> ELECTRICIAN COMPANY � / �' <br /> SIGNATURE REGIS7ERED Y/ FEE CURREN Y/ N <br /> � �� �� ` License # 3 025�6 <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Addresa <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Addross <br /> License # � <br /> 11111111111111111111111111111111 11111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new construction, <br /> Minimum len (10) working days after submittal date Required onsite, Construct�on Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Lde Safety Page; (1) set of Energy Forms R-O-W Permit for new construction. <br /> Minimum ten (10) working days afler submittal date. Required onsde, 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 construdion. <br /> �1�1�1�1�1�1 • <br /> Diractlons. <br /> Fill out applica[ion completely <br /> Owner & Contractor sign back of application, notarized <br /> N over S2b00, a NoBCa of Commencement is roqufrad. (A/C upgradea over S7b00) <br /> " Agent (for the contractor) or Power of Attorney (for [he owner) would be someone wrth notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs rf shingles Sewers Service Upgrades A/C Fences (PIOUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />