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813-780-0020 City of Zephyrhills Permit Application Far$13-780-0021 <br /> Building Department <br /> Date Received � �—� ?/� phone Contact for Permittin �� Q <br /> Owners Name I✓/ �r�/C Q � Owner Phone Number /(i7�y�8 9�3�/ <br /> Owner's Address � 7 / 'vN"I .s/,rClG L pNrner Phone Number �� <br /> fee Simple Titleholder Name __ Owner Phone Number �� <br /> Fee Simple Tftleholder Address � <br /> �J <br /> JOB ADDRESS 7 S (9ltw (� I�I�D ZE�1�YR�iKLS �G 3SS'f LOT# [� <br /> SUBDIVISION PARCEL IDM �y��� � �� '�DI(R/�'�D•� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTft ADD/ALT O SIGN � Q DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK O FRAME Q STEEL Q �—� <br /> DESCRIP110NOFWORK //I�I��,/O� ��,�pZ,�¢j/ONS OF 1'/Nd/�E3 �C'Kl�/�IN�d— — <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� l J`1� <br /> � <br /> QBUILDING $ �"� �y� VALUATION OF TOTAL CONSTRUCTION <br /> J �.c�i <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �� <br /> QPLUMBING $ iq � �Q� IQ�„� <br /> �� ��� <br /> P �' s <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� ���7' <br /> `1 <br /> QGAS Q ROOFING � SPECIALN Q OTHER � •-- �S� ' p� ,o <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 1��`7t-/s�` � �` <br /> �/ <br /> BUILDER � fy�/ %� �I�� IG f,�!I�� �� � " <br /> , . COMPANY I � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ewdress 212 �i/S P/IVE S b��G��?�bf V�nse# C!►'C /s/S2Zg �(,Qj� <br /> ELECTRICIAN � �S �� .I` � � /' �� `� <br /> � V y COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREf. Y/N <br /> Addreaa � <br /> License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY � <br /> SIGNATURE REGIS7ERED Y! N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> O7HER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> Illllllllllllllllllllllllllllllllllllllllllllllllllllllllllliqlllll <br /> RESIDENTIAL Attach(2)Plot 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. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Fadlities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new con:struction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 8 1 dumpster Site Work Pertnit 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 construdion. <br /> Diractions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> H ovar 52500,a Notice of Commencement is required. (MC upgrades 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 PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences(Plot/Survey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />