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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin o�� /�0 -- s,3�7 <br /> Owner's Name �-��-��- /y�/L.l�'l G�-.� Owner Phone Number <br /> Owners Address 7�3 7 h�l /L!Qr(c� L-Lb Oymer Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS 7 b�� 7 !�`! /�- tCiC� (f LOT# �3 <br /> SUBDIVISION �� K.-[�,� f� . �i/ � pARCEL ID# 3�-0�-oZ�-O� - �(�'/-U�U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 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 [� STEEL Q <br /> DESCRIPTION OF WORK rDO�J'I CLQ' /5'-/O/J <br /> BUILDING SIZE o2 � X o� 7 � gq FOOTAGE � y� HEIGHT <br /> �BUILDING S �� dOO .v0 VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE [�] PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> pASCO PERMIT SERVlCE <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �813��"�14 <br /> FAX 1-866-824-7�94 /l <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER I �7�v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> .� / <br /> BUILDER ���C'� lv�{�G�JI p�"� ` COMPANY O.rG�/p cI /¢LLC/A � ZJ�C . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ft��� D <br /> Addreas / /-6/'7" K-�- Z�.�� License# <br /> ELECTRICIAN C��� ��/n „ ,/ ,i,���, o COMPANY m���� �LQC'�r�C <br /> SIGNATURE �`-'�`"�✓'����J REGISTERED Y/ N FEE CURREA Y/N <br /> Address l�.(� • �d� I c�3� Z%�-�- f � License# -1 <br /> PLUMBER � COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# <br /> MECHANICAL ` L�,CUi�cJ `(,,� �� COMPANY (J�f'� S �"/� �E.Q UftJ �,� C <br /> SIGNATURE �`� , REGISTERED Y/ N FE CURRE� Y/N <br /> Address �lL�ti �[-G►' Z-,�l��f' �� License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Pians;(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,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,ConstrucUon Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 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 required for all NEW constructlon. <br /> Directiona: <br /> Fill out applicatlon completely. <br /> Owner&Co�tractor sign badc of applicaHon,notarized <br /> If over i2S00,a Notice of Commencement Is requlred. (A/C upgrades over:7500) <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 PERMI7TING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Servlce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />