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_ 813-780-0020 City of Zephyrhills Permit Application Fax-II13-780-0021 <br /> Building Department <br /> Date Received ,�j - �� L" G �j / <br /> Phone Contact for Permitting Q O -- O F� <br /> Owner's Name Z I � Owner Phone Number �_� � ��O� <br /> Owner's Address ��O � h f�/�/S � Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a5o � f B l� Z I� J, S � � / LOT# � <br /> SUBDIVISION PARCEL ID# ��" ��� ��I� ` (SO 'OC/vO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR�ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM �� OTHER ! <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME �� STEEL 0 <br /> DESCRIPTION OF WORK � !+�-(1 � S �rV�_S �/� (_'.Pn' Cl.� i� � P L(�� /k en <br /> � r� <br /> BUILDING SIZE SQ FOOTAGE Q� HEIGHT <br /> �BUILDING $ J`�R OO(� a VALUATION OF TOTAL CONSTRUCTION <br /> r �� <br /> �ELECTRICAL $ �� 60O A P SERVICE / �� � PROGRESS ENERGY � W R.E.0 <br /> �PLUMBING $ ,.- �I��' �� C_ �`;� <br /> a5 ooc� �.� �' ;-��v� <br /> �MECHANICAL $ ALUATION OF MECHANICAL INSTALLATION Za l��� � � C <br /> a�.5� OoQ �-/� J,��,,�,. r�l <br /> �; ��t <br /> AS � ROOFING Q SPECIALTY � OTHER �I ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER , COMPANY � G{C. /tZ} <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ` r L.�/� �L���' �CGL'd�n I�!�lCo <br /> Address � License# <br /> E�ECTRICIAN ` `,�o COMPANY ��,� � t�r Lp. <br /> t �� •,-�• <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y!N <br /> Address �(zy( �(• � r l�/ 3�+f'j License# E� (3�0 Z��$ <br /> � <br /> PLUMBER ,D COMPANY D1�(� �� � �� <br /> SIGNATURE T � REGISTERED Y/ N FEE CURRE� Y/N <br />,; _ � ¢�lress �/(�S' S1C4L cY.t� �1J1/ LAKG' F 'J�'bl License# �.FC J y 7�'j�j� <br /> l���}S�-dtaC <br /> 4 <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 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& 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&Contractor sign back of application, notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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 if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />