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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact fo�Permittin <br /> Owner's Name NAL+D �O L.N0��, Owner Phone Number / " 7�u`�6�/ <br /> Owner's Address � R jE �� Owner Phone Number <br /> Fee Simple Titleholder Name L �O�-/Y�j Owner Phone Number <br /> Fee Simple Titleholder Address 7 8 7 /l /4 f /��2� l� /9'v€. �7'RA'N D ���-'%�M� <br /> JOB ADDRESS SA� Qv✓� LOT# � <br /> SUBDIVISION (l��2 AN I� �0� Z/d/v S PARCEL ID# 3 h��S=a�"0/8 a—0000 0-3�3 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER N�oC7-P D iC. <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��� �D�C�C f.vr f� CON C+^e� � {�l�r t. <br /> BUILDING SIZE J� �' �� SQ FOOTAGE � �� HEIGHT �` <br /> QBUILDING $ �� O�. D D VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , ,�� r� � <br /> QMECHANiCAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � I 'lJ ` <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER O�N K� COMPANY <br /> SIGNATURE �v``�^� � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> y� w� <br /> OTHER � COMPANY i�[ ��f�� <br /> SIGNATURE �1e�1/1 � �G b �,L��GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pla�s;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster;Site Work 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permlt 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 completety <br /> Owner&Contractor 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 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> . ;�,. ,..� ���. <br /> i � � t„ �b. .'' ��,iR . <br /> � �. <br /> � ` ���� <br /> a. ` .. « <br /> �^+o^.'+tso.y�..."�^'�k° <br />