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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ! i9�Sv <br /> Date Received �� <br /> Phone Contact for Permittln _ <br /> Owner's Idame �-��� /� <<- 4 ner Phone Number � y�" °� f O''� <br /> Owner's Address �3 �U L��'NF��" �' ILA-, � Owner Phone Number <br /> Fee Simple Titleholder Name � !�' ��w �/C �+ � � ���L%�j�` � W�er Phone Number <br /> i y <br /> Fee Simple Titleholder Address ���� �,/ l L j3 ��- . <br /> JOB ADDRESS ��� � �d1- � L Da C�� I I <br /> LOT # �__ J <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT �T� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK u'P +/ �1`�t �1 � �',3 �-t �1 f6 �}. � rt ,�d Q �=�''� � C <br /> BUILDING SIZE SQ FOOTAGE �V HEIGHT <br /> UILDING $ E'� VALUATION OF TOTAL CONSTRUCTION <br /> r c� uc <br /> LECTRICAL $ � Q J� MP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ p� f G�y- �~� io � � ���� <br /> v � �j r.F��J <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION� l � ' 1 �'. K-C��Pr r( �-�� <br /> U <br /> QGAS Q ROOFING Q SPECIALTY � OTHER 3 �— I��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��� <br /> r ` / SC�� <br /> S GNATURE �, � COMPANY ���J � ������� v � /� � <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �0 � � �OL.I/�e,/' �i�/�� /� CC .3��0 7 �i3C S 1 GI /O <br /> � <br /> License # L <br /> ELECTRICIAN o � COMPANY ��r �"K� .1 l�v�-}'� F �- � c�r c <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> 1R. <br /> Address � G„3a �J f p� L„ �.�, � /R! �� 4 �icense # f� 6 e� ;� I F l �� <br /> PLUMBER � `� �� COMPANY n� ll m�� c� �� I u"� ch ��"� �� f �` <br /> SIGNATURE � REGISTERED N FEE CURRE� N �' <br /> Address • � ?C� � �t �o� ��YYL � • 3 9'1 License # 1...+' L. � � o� � � (%� <br /> MECHANICAL COMPANY ��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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. Requfred onsite, Construction Plans, Stormwater Plans wl 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 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 FaciliBes & 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 /> rl 1 IT 1 1 1 1'1 1 1 r e 1 1 r1 1 � <br /> 1 �.�aaa 1 aiiuJll I.LJ1 I 1 1 LLLL1 1 <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. (A/C upgrades ovar;7500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />