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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�tl t Phone Contact for Permittin �� �P� — � /O� <br /> Owner's Name � l���i 4 L=-����� Owne�Phone Number ��L 5�5 D 1 S 1' <br /> Owner's Address S�3 �� S�' Z-��7h /Lt• 1�S �c 33SYZ Owner Phone Number � <br /> Fee Simple Titleholder Name /�/v ti►� Owner Phone Number � <br /> Fee Simple Titleholder Address /�+D ��=- <br /> JOB ADDRESS �Z°3 ��k �"J t�-}- 2-��h�r h ���S —�L- 3�S`f Z LOT# � s '�"6 <br /> SUBDIVISION PARCELID# r�`L6'2�`�`��`� �3�� v`�'�`� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROP03ED USE Q SFR Q COMM 0 OTHER f'';�/qr �H <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK °� �`�� �9� "�C�c�S�"`—��.��.\cS�:L��� -�-1c��e d� � �.� � <br /> BUILDING SIZE o�5��3� X Q� 3Q FOOTAGE �s� HEIGHT ",/ <br /> UILDING $ a, VALUATION OF TOTAL CONSTRUCTION <br /> /2 ��3- � <br /> � ELECTRICAL $ 5.�� . u J AMP SERVICE X Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � J�S� <br /> � � � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Ih�s� ,I� <br /> � �t/,,. - ��c <br /> OGAS Q ROOFING Q SPECIALN � OTHER 3 lJ�'" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> �--^- <br /> BUILDER ' � COMPANY E� ld,fi�4, � l`� -� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address (D S� Gl5 ,��1� ��(��� ��5�1 License# C`,��� �d S�G S5/ <br />�ELECTRICIA ( COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREP Y/N <br /> Address 52v 3 C����" �j�� �� �`� S �C��S_Y� License# C <br /> PLUMBER /� �v �� COMPANY <br /> SIGNATURE � v REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> �--_ <br /> MECHANICAL A � COMPANY <br /> SIGNATURE � "" � REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � � <br /> OTHER ,, / �( � `�_- COMPANY <br /> SIGNATURE /V� `�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Piot 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Penmit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 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 s2500,a Notice of Commencement is required. (AIC upgrades over ST500) <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 />