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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ���0 L 1 g <br /> � Building Departmenl TA 33 Xc.o�{1 <br /> Date Recelved �1 �� ��� <br /> G� Phone Contact for Pertnittin <br /> Owner's Name �N � S ' (�T COyM N llL Owner Phone Number a�'3�7�Z��j�5�� <br /> Owner's Address ''F��� WRSN�q4 OPI � Owner Phone Number <br /> Fee Simple Titleholder Name K�p�,��( �e (�li C.r�C �M 1 Owner Phone Number <br /> FeeSlmpleTltleholdarAQdress 4U1� w�����TUnI'Rd Mcl�lur�a �S 1—Z �.D <br /> JOB ADDRESS 3 j S ZZ /+� AIJr Z� � � ���2� LOT# � <br /> SUBDIVISION PARCELID# ��'�c.V�ZI— � - �'�O��VV�D <br /> (OBTAINED FROM PROPERTV 7AX NO710E) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK IAC�h Qk� }�A Q�Y►}�y�N r01Jr�� C U• wr��,I���l!VJ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $r'� OO,I VALUATION OF TOTAL CONSTRUCTION � � ���� <br /> `T y ��, <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ <br /> C1.1 Z �-'� r � ,,/- <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION SE�7 <br /> C�/��, �/� � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER (� NUI..� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO`� <br /> BUILDER �� ���PANY ILLS I � L_ <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE /N <br /> Address v�o 7 ,$�-jh � (1L G � � <br /> License# <br /> ELECTRICIAN �/� I� COMPANY l ��C}� �T/ <br /> SIGNATURE li� REGISTERED / N FEE URRE� Y/N <br /> Address 'f�� � � �� License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPAkY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address � <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit fo�subdivisions/large projecls <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 construction. <br /> Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements musl meel compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commancemant is requlred. (A/C upgredes over 57500) <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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />