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813-78(J-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved -- 3a�(3 G/3 �� __ �1/( <br /> Phone Contact for Permittin Q �) <br /> Owner's Name ��d/��C f �CJPIL�' // Owner Phone Number <br /> Owner's Address ()/OZ �l�[ Q �(J�C_ �/� . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS t� Q�dZ �C 2 LU �II�C� �Q G� '11. cJ � LOT# s/ <br /> SUBDIVISION / I' i(_[ C PARCEL ID# U�' �0 a2�� v�3U—QQ� — (7 S�() <br /> (OBTAINED FROM PROPERTY TAX NOTtCE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK U—t,L� Q � � /!.�/ �(��/ <br /> BUILDING SIZE �7 X �7 � SQ FOOTAGE 3�6 <br /> HEIGHT <br /> �BUILDING $ /�'J ,r}-��y VALUATION OF TOTAL CONSTRUCTION <br /> /�`J/�J� � c 3��� <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> OPLUMBING $ ����MlT$�RV�E <br /> F (813)788_5�`74 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � -7 4 / <br /> �GAS Q ROOFING Q SPECIALTY � OTHER ��� <br /> FINISHED FLOOR ELEVATfONS FLOOD ZONE AREA QYES "� � <br /> BUILDER COMPANY {.1� � ��/// �/,(f d/, <br /> SIGNATURE �l ���� ' <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address P• � • t�U� �v�� � e- �^� �/ • License# <br /> ELEC7RICIAN �A ��� `�' �COMPANY ��/7`��� C CY� <br /> SIGNATURE ��� ���-��,J�E! REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �y�D�� �l)� Cf /�7�' ,�,�' . �' 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 License# � —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conshuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisfonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction. <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 consVuction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over Sz500,a Notice of Commencement is required. (A/C 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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveyJFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />