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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received , �'�,� �� y �./3 7�0` __ s�/� <br /> Phone Contact for Permittin p <br /> Owner's Name ���(J 4/�(��li� Owner Phone Number <br /> Owner's Address �y.5 3d L /�'Q� !`�Q//C f � - pymer Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number �— � <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS 39530 � �f �Q�l�T ���(.2. /'� �/� LOT# l7/ <br /> SUBDIVISION �� �S�G (/�►� PARCEL ID# °Zy—°� ��— 0��— Ov1Od— ��v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT C� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA �� STEEL Q <br /> DESCRIPTION OF WORK C /^�- � J� <br /> BUILDING SIZE J' � /l7 X/ SQ FOOTA(iE `r� HEIGHT <br /> �BUILDING $ <br /> � �. VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> OPLUMBING s PASCO PERMIT SEH'VIC� <br /> (813)788-5314 <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� 1�`�7� <br /> Q GAS C�)(�1G ) <br /> Q ROOFING Q SPECIALTY � OTHER /3i� Z SP� ''P l�� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO I 3� l <br /> � <br /> S GNATURE ���L�. ��'"'`-y�j' �•�, R OM RNY C��N� Fee cu��',`-��� y/�C <br /> Address �/�y �0��- ,�.lAf � z�,/ • <br /> License# <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/N <br /> Address Ucense# � <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 aRer submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bufidfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum te�(10)working days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadflties 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out applicallon completely. <br /> Owner 8 Contracto�sign back of applicadon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC 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 AppUcatfon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />