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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-OOZ1 <br /> Building Department <br /> Date Received Phone Contact for Permittin �O _ VJ z <br /> Owner's Name i�2 �� L �� ��i �S ' Owner Phone Number <br /> Owner'sAddress `5�11 ��'et�C_lN�, ,/�• �o°� r�i�/ OwnerPhoneNumber � <br /> Fee 5imple Titleholder Name �U���- ��TV/�✓f�Z��� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �'�f-11 ��d��i•up d�r, ZC��-� 2,�-�,%/s �1� 3 3�SV-2--7 6 0� <br /> JOBADDRESS S� rr ���0'e`��l° �"' �� ���y� ���/� ��3'�`S� LOT# I � <br /> SUBDIVISION ����� 2' ��//S ����� , PARCEL ID# �2-Z�-7�-pp�b -bOZOO—j 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK ��� `� / ��'���r"`Z`� �' �' <br /> i �i z✓f t".�' <br /> BUILDING SIZE �� `��"1 � �D�Sf� SQ FOOTAGE� HEIGHT <br /> QBUILDING $ /�e�V VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ 2��p <br /> � � ;� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � <br /> � � COMPANY � �Zl'J cl /1�'C, /Dy�G�d �NG• <br /> SIGNATURE ` REGISTERED Y/ N FEE CURRE� Y/N <br /> Addressl ' License# �2� -^ �=j 2�7�8g � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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 aRer submittat date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new prajects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "**'PROPERTY SURVEY required for all NEW consUuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notari2ed <br /> If over;2500,a Notice of Commencement 1s required. (A!C 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 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 />