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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receive� Phone Contact for Permittin - <br /> Owner's Name �+�So� 'Jl�`�►�r'�o,')c�f e Owner Phone Number o �3 �3?S �o�� <br /> Owner's Address �y�7 ��K C R�s� l�-'ra-` �,�'S'�°'� Owner Phone Number �- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS � y� � �!'� �``�PS� C��1-- LOT# � <br /> SUBDIVISION ��' ���P S� CS�f{'S PARCEL ID# �Ot-�� '� �- � 30 'DOODD - � �3� <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �`� �!� S �-°� G N�I c.° O�'t � v� l <br /> BUILDING SiZE �-� 3(�FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �MECHANICAL $ _� VALUATION OF MECHANICAL INSTALLATION ����� <br /> 3 Co 00 <br /> QGAS Q ROOFING Q SPECIALTY � OTHER D J���� � <br /> FINISHE�FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address 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 r"�G G/+� ��aF<<^ �i�� <br /> SIGNATURE REGISTERED Y I N FEE CURRE Y/N <br /> Address ���lv � �''�e�'�✓ 14�e .�'�"" �� 3s(� S l.icense# C� �d �`�3�5 <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 construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facflitfes 8�1 dumpster;Site Work Permit for subdivlsionsAarge projects <br /> COMMERCIAL Attach(3)compiete sets of Buflding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&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 /> ■� �������71�II7111e�711111111117T <br /> --- 11 J-L1L 1 �+-�+-�+� <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C 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 PERMIITING (Front of Appiication 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 />