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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiveci ,�— 2� �� Phone Contact for Permitting (v Oc� 9� 3 __ O OS�� <br /> T���TfT� TT I T� <br /> Owner's Name �I eLo E� /�OT6�. Owner Phone Number 8/3 ' �D°� ' tt// <br /> Owner's Address 78�9 A/L .(3t y� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS TS 3 A/L �L V� LOT# �_� <br /> SUBDIVISION �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK ��J»�c f�NC�fJO.� �vi( /�/,A ��J�L/A�T �e�. LiF�'—' � G �f <br /> BUILDING SIZE —1 SQ FOOTAGE� HEIGHT �p � <br /> �BUILDING $ ��.O� VALUATION OF TOTAL CONSTRUCTION �f �j��� <br /> OELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ It(�, lfG'y�(P�"�,,����� <br /> 0 �,� ,�P `f <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��1 �,��,rC���JV" <br /> U �J <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ' ' J �'�� P`�'��� <br /> �/ i �3�' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �.,__,_,_ <br /> BUILDER ���MPANY ����Q� C'oN1T".�!cr,o n� �LC <br /> SIGNATURE � REGISTERED / N FEE CURRE� Y N <br /> Address Z 3 g Z �`,4�(6��t1/��JT — �1�rC,N�.✓T License# �'$�'/.t s��o'�.j� <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 �icense# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans, (1;set of Energy Forms; R-O-W Permit for new constructior., <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 Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page, (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 w/Silt Fence installed, <br /> Sanitary Facilities&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 /> . . . . <br /> Directions.• <br /> Fill out application completely <br /> Owner&Contractor sign back of application, notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with raotarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />