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813-780-0020 City of Zephyrhills Permit Application Fax-81:)-780-0021 <br /> Building Departrnent <br /> Date Raeefved Phone Contactfor Permitting / <br /> Er Er rt rr rsi tr <br /> Ownefs Name �� U�=�s1 �� Owner Phone Numbar w 3����r�2�� <br /> Owner's Address �oZ.�} �LYER ORKS �'R� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number �__ � <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS �Z3� yLVER ��KS �• � LOT# C'� <br /> SUBDIVISION �V� (J�5 PARCELID#�3���ZI�OIZ�,�dQ����OI� <br /> (OB'fA1NED FROM PROPERTY TAX NOTIGE) <br /> WORK PROPOSED e NEW CONS7R e ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �-� <br /> DESCRIPTION OF WORK 1��� l �-=���`S �� �R 'SSZE � <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT � <br /> TTR�T!'rn�!"P'r!'TTPrR�r!" T�R�TTr�'/'f� rtRTTrr <br /> QBUILDING 3 /_/!�� �'' VALUATION OF TOTAL CONSTRUCTION �j/ ��y)r <br /> �O v '/L v- <br /> �f'� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ n �,.��,f-j�/ <br /> ' n/" �h v ��w�n ` / <br /> QMECHANICAI $ VALUATION OF MECHANICAL INSTALLATION � C�'II Q V l '��'O�'f " <br /> V � ��\Y <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER ��7j; �. t <� ~ <br /> �% <br /> FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA DYES NO 3 �� <br /> 'w'.i..'w6.L�..S.S.: wL.` �..:i P.'.ww�.� � �..��.:.:.:.�wi. <br /> BUILDER +y / � ��COMPAN`f v�S� �S, �K�• � <br /> SIGNATURE �V � REGISTERED Y/ N FEE CURREh Y/N <br /> Address �� 3 A�.�� fl� �� � License# lipCi(ZS'r7�l6j � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y!N <br /> Address License# � <br /> PLUMBER COMPANY � <br /> SIGNATURE RECa1STERED Y/ N FEE CURRE� Y 1 N <br /> Address License tf � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y 7 N FEE CURRE� Y/N <br /> Address License fk � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y I N FEE CURREA Y/N <br /> Address License# � <br /> t 1 E 1 l 1 E 1 ! 1 / I 1 1 1 [ 1 { 1 1 1 F 1 �1 1 I 1 f 1 t 1 i 1 l 1 I t 1 1 1 t 1 f 1 1 1 E 1 1 E 1 1 1 [1 ! 1 1 1 [1 f f 1 1 1 <br /> RESIDENTIAL Attach(2)Plot P�ans;(2)sets of Building Plans;(1)set of Energy Fortns;RA-W Permit for new construction. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans.Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpsler:Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atlach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-0-W Pertnif for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertn@ for all new projects.All commercial requirements must meet complrance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> �.i.�i..i-i-f-4-i�F��-1- i-Ff-1-�{-F�4.i.i.•i.�4-r-1-l-i- f-4•t-id--i.i-i.i-�i.�-i-1-H-i�d-i�-f-i�- <br /> Diredlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencament is required. (AIC upgrades over=7500) <br /> " Agent(for the conVactor)or Power of Attorney(for the owner)vrould be somaone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />