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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received - 9-�7i phona Contact for Permittin ��`3 7`a -- s��� <br /> Owner's Name �V�n�.l C—�v Owner Phone Number ?7d c3�G "!�d 6 <br /> Owners Address � 7 T� � �� �� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS 5��� � �-��vG LOT# � <br /> SUBDIVISION G����A/U� �III�/ PARCEL ID� �d'���'� ������/�i'� OO�"U <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q , <br /> DESCRIPTION OF WORK �O x l� �C��'n ����' "eu ' ��J � <br /> BUILbING SIZE �!r X l� SQ FOOTAGE ��� HEIGHT <br /> [�BUILDING a �� ��-O f � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PRO�SS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �( l✓�Z PAS�PERMITgEqy� <br /> F��3��6-b314 <br /> OMECHANICAL $ VALUATION OF MECHANICAL iNSTALLATION -�-82,�7� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER � ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N� - <br /> r���► �``-��- <br /> BUILDER ' / �� �� � ` ��` COMPANY V Un � T11 C . <br /> SIGNATURE /��L��'"7'�'�l�! REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �t�� �dr� � Z f License# C�`'C� ��7 <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 J N FEE CURRE� Y/N <br /> Addreas License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Requfred onsfte,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 81 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 Forms.R-O-W Permtt for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadtities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sats of Engineered Pians. <br /> ""'PROPERTY SURVEY required for all NEW constructlon. <br /> Directtons: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of applipdon,notarized <br /> If over 52500,a Notice of Commencement is roquired. (AIC upgrades over i7500) <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 AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />