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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department;,�,/2l�� ��� ��-� ����� <br /> �-� �.r� <br /> Date Received �l � � phone Contact for Permittin ��� ��� __ ���y <br /> Owner's Name �/a 1,�� p GL Owner Phone Number n3 / 7 / <br /> Owner's Address ��p V , Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tftleholder Addreaa <br /> JOB ADDRESS c� � � ,Z� ' F LOT i� �] <br /> SUBDIVISION �ruLa �OLIC.XL PARCEL ID# °Z7`� "�� ODO�Q� ,(t'�Q'f-Q`�' (� <br /> �v �fQ/� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT [� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [—� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK c�'Gt.QQ� r�T/yI � � �dl /� • � f-��L (f�o <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING S ,�j'0� �D b VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �,r��C� ,/ <br /> �MECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� ��ti <br /> QGAS Q ROOFING � G � -�L�, <br /> Q SPECIALTY � OTHER `1 �,� C'r����/.""�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO v V <br /> f <br /> BUILDER � COMPANY O(l1 l�r r � 1�/'- !!-/OY��'G/I/�D <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas 3S�S u�C./�L.Q/'/�IL Z License# <br /> ELECTRICIAN s " �, COMPANY Q�'' �k.-/!L�/� �ioya c�1i�0 <br /> SIGNATURE X REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� �,�X d.i�r(,Q (,(J �' <br /> License# <br /> PLUMBER X � COMPANY 4�.�7�vB✓ 1fP✓ ���D�G(CC��i✓l� <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address ,j�� ,/ a, 1�!//s License# <br /> MECHANICAL � ' ��COMPANY �'�N�� I.va��P� D G/�/ '►'�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3-r�v�� �ta fr1 a Y/�✓� u1�t, ,�/��//S License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Add�ess Ucense# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 8 1 dumpster.Site Work Permit for all new proJects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred for all NEW consVucUon. <br /> Directtons: <br /> Fill out applicatlon completety. <br /> Owner 8 Contractor sfgn back of applicadon,notarized <br /> If over S2S00,a Notice of Commencement is requlred. (AIC upgrades over s7500) <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 Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />