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813-760-002C1 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Recejved -Z�� 3/ �, � � blv <br /> Phone Contact for Permittfn / <br /> Owner's Name f ( � � %' Owner Phone Number '� <br /> Owners Address ✓ ,3 ..S Owner Phone Number � <br /> � � i <br /> Fee Simpie Titleholder Name Owner Phone Number ' <br /> Fee Simple Titleholder Address . <br /> JOB ADDRESS 3 S ,Q.,IC�b`T �b 1� IG� y LOT# �� <br /> SUBDIVISION PARCEL ID� Q�-"'�V` J-OQ1 Q-L7 tj - � <br /> (OBTAINED F�pROPERTY T�ncel DEMOLISH <br /> WORK PROPOSED NEw CONS7R ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �Ti1/$"T.��1�,/�JQ,�� ti S'll ONc��S2TL.T/CS t�MJGY /¢QG'TCG�' <br /> BUILOING SIZE SQ FOOTAGE C� HEIGHT �� <br /> OBUILDING $ /� �O��� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W,R.E.C. <br /> OPLUMBING $ � �� �6�� `A�/� <br /> V l (0 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q <br /> QGAS Q ROOFING Q SPECIALTY ��� ���1 <br /> �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN ,�J � ��� � f ('COMPANY �;s 5� }� 'E/�f�i!r� � <br /> SIGNATURE "� (a ` ��� REGISTERED FEE CURRE� /N <br /> Address i"{ �CN �, .3��� License# � � ���J <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# � <br /> OTHER �� COMPANY /� Er'��UPi ^ � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas �'"6� (� ), GL Q� 3�3� License# ����j����/ � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fomis;R-O-W Permit for new consUuction, <br /> Minimum ten(10)worlcing days aRer submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 d'umpster,S(te Work Permit tor subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Woric Permit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Eng(neered Plans. <br /> """PROPERTY SURVEY required for all NEW construcdon. <br /> Oirectlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement la 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 Appliption Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />