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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • � Buildfng Departrnent <br /> Date Received S '�GJ i �2-, Phone Contact for Permittin �� --' <br /> Owner's Name IN�M�lkd, �j(�h5��' Owner Phone Number - � (3 <br /> Owner's Address Vd� �D��"� �' �,, , _ a �n.. pwner Phone Number <br /> Fee Simple Titleholder Name �r f�- � Owner Phone Number <br /> Fee Slmple Titleholder Address � <br /> JOB ADDRESS � � 4�<<1 LOT# C� <br /> SUBDtV1510N PARCEL ID� �� a '�j'Z. �l� �' �(217 .-t�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � C] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK SrA�J� .3 �yA{„L�jj v�Y-a �(6�r.St' r "�p ' ' J�u <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT U'�-�l.l��'N <br /> BUILDtNG $ ' VALUATION OF TOTAL CONSTRUCTION <br /> �- �-om`� <br /> dELECTRICAL $� �66 �„ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $ ��Z�o`- �l�� ry� Q�/�, <br /> \� a 5 /�(_„ ^/! <br /> C:. <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v�'�� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER - -�/Z /S� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,, <br /> i � <br /> BUILDER ' OMPANY m�'S�� 'h9 � � L.�'J� <br /> 51GNATURE"`-•� __ REGISTERED / N E CURRE /N <br /> Address 0 � �' . �0 �i�t9 (� License# �S D�g^� � <br /> ��, <br /> ELECTRICIAN i � J r^ I�OMpANY �Y1�, c �� �� <br /> SIGNATURE `��•� REGISTERED Y N FEE CURRE� Y/N <br /> Address � Q �.�, �,. �� � ��(7� / License# QQ���� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# r- <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 /> Minlmum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster;Site Wo�lc Permit for subdivisionsAarge 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 consVuctlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wJ 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over i2500,a Notice of Commencement is requlred. (A!C upgrades over 57500) <br />`" Agent(for the contractor)or Power of Attomey(for the owner)would be someone vuith notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <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 />