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813-780-0020 City of Zephyrhills Nermit Hppiicauu�► "' <br /> Building Department <br /> , �Z ��f� -- <br /> Date Rreceived Phone Contact for Permitting <br /> � � Owner Phone Number <br /> G3- 3�� ��8z <br /> Owner's Name Lc <br /> �9 152 �i���G. �' �� .�s¢2 Owner Phone Number <br /> Owner's Address �J <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Add�ess LOT# �� <br /> JOB ADDRESS <br /> 3 .3.52 � G�/ �4Jc ��i�G �'' .�! .�,35�Z <br /> /.r� � �'� pb PARCEL ID# �" <br /> .Zla�o,ZJ—D280 _puuo � QZ� <br /> SUBDIVISION � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ADDlALT [�] SIGN [�] MOVE [� DEMOLISH <br /> WORK PROPOSED e NEW CONSTR e REPAIR <br /> INSTALL <br /> COMM � OTHER <br /> PROPOSED USE 0 SFR � F�qME � STEEL Q OTHER�— <br /> TYPE OF CONSTRUCTION � BLOCK 0 <br /> I (� �I!�L� �!E w �E4-i l t� ��O r2- <br /> DESCRIPTION OF WORK -� <br /> BUILDING SIZE <br /> SGl FOOTAGE HEIGHT <br /> � BUILDING $ i Z �� fl� VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE C� <br /> PROGRESS ENERGY � WR.E.C, <br /> � PLUMBING $ ",f� .,�''�� <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 2,q�y <br /> / <br /> � GAS Q ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> ,► � f ;, (� L, �T��1(� L�.r�tij7�-�c Tt� <br /> t COMPANY <br /> BUILDER � C, . ,,�,,`!,_., � REGISTERED Y I N FEE CURRENT Y/N <br /> SIGNATURE �'v`Z-' <br /> � r � <br /> �j µi ��- �t 33 �icense# <br /> Address L�� � <br /> ELECTRICIAN 1 COMPANY <br /> SIGNATURE �V � REGISTERED Y/ N FEE CURRENT Y/N <br /> License# <br /> Address <br /> PLUMBER , f '� COMPANY <br /> SIGNATURE /�1 REGISTERED Y/ N FEE CURRENT Y/N <br /> License# <br /> Address <br /> , <br /> MECHANICAL j � COMPANY <br /> SIGNATURE y REGISTERED Y/ N FEE CURRENT Y!N <br /> License# <br /> Address <br /> OTHER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURRENT Y!N <br /> License# <br /> Address <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 afler submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 55000) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />