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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received , Pho�e Contact for Permitting ��3 �SS -- �1a3� <br /> �-rt+ttri-ti-rttt <br /> Owner's Name C� l�-�1�`.E /-!,l��E -� Owner Phone Number a - ti3 <br /> Owner's Address ���3 9 �E mOTZ'`� J4'JE Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �S �tih'�1 e- LOT# � <br /> SUBDIVISION ����1 �TUL--l-D� PARCEL ID# Z�'a�'aj'Da���occ�^ — c�yo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK � L �,.T/w t� � —' -t3�T -P� - ^I'�1� '- � E IZ e-k� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ ���^ �� <br /> (.� <br /> 1 <br /> � MECHANICAL $ � 3� , r � �� VALUATION OF MECHANICAL INSTALLATION <br /> "t <br /> 0 GAS � ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE (2EGISTEREO Y/ N FEE CURRENT Y/N <br /> , Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL �,%. 1, ` �'� n� � > COMPANY �� � )e CC�7�-1, �`b- EC-��-' <br /> SIGNATURE tyC,�,1�"` IN�CX.GG�VV�.�/�' REGISTERED N FEE CURRENT Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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!Si�t Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 8 Contractor sign back of application,notarized <br /> If ove�$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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 Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) <br /> Driveways-Not ov ' 's�4ed!!r�l1��°R�' <br /> �i; r s.. . ., . ,,;, <br /> '�LN.a9. te }�fIZ 'f i�.' . y �..r«r�.. <br /> k;�� .,�� �KlK u�!��Yx ��;r�� Al . �.• yi' <br /> L�aS��C�t '��!F '�.: ,� . � �...�y.�:. <br /> ..tap Y.;'�?i�l�.= tt?aF I`. �� �, , <br />