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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received b-�j'/�, Phone Contact for Pertnittin / � - �Q ' ��� <br /> Owner's Name � � �j (�- � <br /> 1��` ' �.+-dr Owner Phone Number 070 _�f0 (�d�� <br /> Owners Address (f� / G �)�,�l�l�( �3/�i Owner Phone Number �� <br /> ' / ��Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addra � <br /> JOB ADDRESS c�)//O[/ /(� Q� LOT# [� <br /> SUBDIVISION �i K PARCEL ID# 7"O�CO�oZI��'3�i-�(�Q�`�-�Y10� <br /> (OBTAINED FROM PROPER7Y TAl(NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � 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 O r-� <br /> DESCRIPTIONOFWORK lQ�{j�I p�m ��i Q�(- ��S•F�������• � <br /> BUILDING SIZE � SO FOOTAGE� HEIGHT � <br /> BUILDING $?��•�O VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � %_ � COMPANY (�5��yi �S(� ��,�� ,( �( � <br /> SIGNATURE 'G�e-•�� REGISTERED Y/ N FEE CURRE� Y I N <br /> Address ��0� ///` � � License# ('�-j�]7��-- � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> '�d�$$ License# �-� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# � -� <br /> MECFIANICAL COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREA Y!N <br /> Address License# -� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> �d�$$ License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Faplities 8 1 dumpster;Site Work Pertnit for subdivisionsAarge 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 coristruction. <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 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 construction. <br /> Direcdons.• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> N over 52500,a Notice of Commencement is required. (AIC upgrades over=7500) <br /> " Agent(for the contractor)or Power of Ariorney(for the owner)would be someone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />