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873-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' —� ' / <br /> /._ Phone Contact for Permittin <br /> n <br /> Owner's Name � L Owner Phone Number <br /> Owners Address 5�35 �� �� Owner Phone Number � <br /> Fee Simple Titleholder Name �— Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 9�-}' 2 l E, Z�L 1 � LOT# �� <br /> SUBDIVISION PARCEL ID# � 2 � t,o 2 I Ob(7(� O��Od �DU <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK IrBC?� (��P � - <br /> BUILDING SIZE �— SQ FOOTAGE � ! ��C� HEIGHT <br /> OBUILDING $ �=�� VALUATION OF TOTAL CO TRUCTION <br /> _1 � _ � <br /> QELECTRICAL $ AMP SERVICE PROGRESS ENE�'"!Q �_•.W,R;E�,C, <br /> QPLUMBING $ \\ <br /> �� � � <br /> J /� � 1 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO j � <br /> �'"` <br /> QGAS �- ROOFING � ] SPECIALN 0 OTHER `-- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES <br /> BUILDER COMPANY ou..�� ��r1 �(� n06-`�-i.a S-�C <br /> SIGNATURE REGISTERED Y/ N FEE C RRE� Y/N <br /> Address S Q �- G ca h�1� 1 �J354 � I L,(--G O�J S L 3�1- <br /> 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 CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> OTHER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address license# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)compiete 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 applicatton completely <br /> Owner&ConKactor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. A/C upgrades over:7500) <br /> "' Agent(for the nhactdf}'�r Po� omey o�,�yvn would be someone with n tter.�ovme„�„��ho�i s m <br /> irta=.2 • • , .�•, <br /> OVER THE COUN R PERM1?TING", q F��Q�of " �a�bH nly) �� <br /> Reroofs if shingles Sewers ���"U� : " Fences(PIoUSunrey/Foo e� , , , ' , ' <br /> . ,, , <br /> '� :� . <br /> a �i�.rx��•. 'i� r _, . �. <br /> Driveways-No ver Counter i�'on pU�adway§::n�s W � � � :,,���,,u` <br /> a►'�r �w`.,¢'"""y""�i�°�+ny �.,q�. ., �;u�.. , .. <br />