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813-780-0020 City of Zephyrhills Permit Application Fax-tf13-/t3U-UU11 <br /> Building Aepartment <br /> Date Received phone Contact for Parmittin ��'.�`' ( - 5 Z� � <br /> Owner's Name l.0 � �(,' �. �1 �C- Owner Phone Number U�J - �- <br /> Owner's Address 3� S�J r J ��cT' �qWY� zl-Y . 33S�a Owner Phone Number <br /> Fee Simpie Titleholder Name �"'`� Owner Phone Number � <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � Z� ���-L �VS� . Z£� R��� ��. 3'-�''�Z LOT # � <br /> SUBDIVISION ZN �OwN ��� � , PARCEL ID# �Z - �'Z� ` OOI� - 03�op - 00�(J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL R <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �� W �� �����- W��� �� �� �$ ���� <br /> BUILDING SIZE T � �� M�o� SQ FOOTAGE �� HEIGHT 1 O�yN�au-S <br /> [�]BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> v3 �3. <br /> �ELECTRICAL $ c �� � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �J <br /> �PLUMBING $ 5, �� , � ��A�if � ' �� � <br /> � � <br /> ..� ( <br /> �MECHANICAL $ 5 c . � VALUATION OF MECHANICAL INSTALLATION <br /> . <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> Pe� za.:�+a � aa <br /> BUILDER ' �-\ • COMPANY �y�a Co�s�a��oa ��wwo� �- <br /> SIGNATURE - "` " REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � ZL i,.1. 3 � 5 '�1 License #���-- �'J ��� 7 2 <br /> ELECTRICtAN � � COMPANY ' `��F�J �. <br /> SIGNATURE REGISTERED Y/ N F� cu�n Y/ N <br /> Address 1 O� � 1 C�►��1�,R.,l- 9 c��A�q�C�' ��zS License# ��.-13�3 ��.5 <br /> PLUMBER J ' COMPANY /�IU�.1 --YI�M�fPJ�nK�-- <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address .�. }� � �QI{ �t �y„ ��b�9 License# C-�C��4-�5bo2 <br /> MECHANICAL V � �O COMPANY �� � � � �- <br /> SIGNATURE Rec�s�rtE� Y/ N FEE CURRE� Y/ N <br /> Address � � �l-at-l- � . �Q �W.S� �,. ��541 License# �—r��0�3�� <br /> OTHER COMPANY � <br /> SIGNATURE N� 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. Required onsite, Constructlon 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 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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster. Site Work Pennit for all new projects. All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '""*PROPERTY SURVEY required for all NEW consUucUon. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner & Confractor sign back of application, notarized <br /> if over;2500, a Notice of Commencement is required. (A!C upgrades over s7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarfzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences (PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br /> .,,,. <br />