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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received /3 ��, _ s..�/ <br /> Phone Contact for Permittin <br /> Owner's Name �'��Q.C.J7 /��ll/1�f" �'IP..✓�ddZQ Owner Phone Number <br /> Owner's Address '����1 /�Q,7"� � Owner Phone Number � <br /> Fee Simple Titleholde�Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c3�'�OI II�/'�/l. ��/jl/e � /�/�..` � ' LOT# S�! E3 S <br /> SUBDIVISION /�de. �C�G� . , PARCEL ID# � � ` � 0� C�Qp2./}" d�� Q�p�Q <br /> (OBTAINED FO pROPERTY T�ncel DEMOLISH <br /> WORK PROPOSED � NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK d �r� `(f � <br /> BUILDING SIZE y x�y SQ FOOTAGE �l� HEIGHT <br /> [�]BUILDING $ � <br /> IO�ODj�,� A UATION OF TOTAL CONSTRUCTION ��(��� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING g PASCO PERMIT 3��1'VICE <br /> 813)788-5314 <br /> []MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 6 �4-7894 <br /> ( /1 <br /> l./ <br /> QGAS Q ROOFING SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO :��?'�'� <br /> BUILDER ` � COMPANY O[I�/t�r' -' ���j /J�d/� f��i/P�Qd <br /> SIGNATURE 2 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3�(J/ �/'�{�(,�� <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � <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# �— <br /> O� Ty ER , � COMPANY i �� <br />$�(QNATURE <br />�`�� r REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required ansite,Constructlon Plans,Stormwater Pians w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br />�OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permft for new construcbon. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br />�IGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW constructlon. <br />)irections: <br /> Fill out applicaUon completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br />` Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> IVER THE COUNTER PERMITTING (Front of Application Only) <br />;eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />