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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � r/����� phone Contact tor Permittin �/3 �3,3 _ ��,.2� <br /> Owner's Name ^//-�-• � ('Lc/ Owner Phone Number p � "� 7�(o"' 17.z <br /> Owner's Address � r�� ���h sT�'� �� pwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addross <br /> JOB ADDRESS � 02 7�L' c_,�T/tr'�7` LOT* 7�s` 9 <br /> SUBDIVISION PARCEL ID# "v�{A `a '�/ �SG�-�OD�� <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CoNSTR ADD/ALT Q SIGN Q [� DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE �� SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK !`�"C'—�o07- L.J, f� ,Qr�7 P./?S�IOY/G / cS`j ,� ��-s <br /> BUILDING SIZE SQ FOOTAGE �v��O HEIGHT <br /> QBUILDING $ o�, <br /> �00� VALUATION OF TOTAL CONSTRUCTION �'��� — <br /> QELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIO S FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> ELECTRiCIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address l.icense# �— —� <br /> OTHER � C�t,_�� COMPANY T���l�, ��0�����J�l/C,�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �o�v . S � ' �, �� S .3�S?/1. License# C�C C� y y3 7D � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permlt for new construction, <br /> Minimum ten(10)working days after submfttai date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instafled, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Woi1c Pennit 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 /> ' �����.����,��������.,.��.. . <br /> Directions. ' <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement Is required. (AIC upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appliption Only) <br /> Reroofs if shingles Sewers Service Upgrades N,C .�Fe„�nces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW� <br /> ' , <br /> , � , <br /> A .,_.. ,. .�. „ .. .,._. „_..,.: <br />