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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' �-� � /- � � Phone Contact for Permlttin - <br /> Owner's Name � 1�4�O 2 �a j" i i'��Z- Owner Phone Number � Z• J�lg U D� � <br /> Owner's Address �Z�J Z S ro!'T �!i't� �d, �� �L Owner Phone Numb �J.SZ_ Z OG�� Z��� '' <br /> Fee Slmpte Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c� � Sl r�' '�1 LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R� 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 � <br /> DESCRIPTION OF WORK A-7T•4CyT fi'�J i D�/[ �o�-x. � �/1 I�[T'f /�ru lq �Z <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �'�UILDING $ �� �oO VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ 3 OQO AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> I�`-'Q <br /> QPLUMBING $ � <br /> � . 006 ( �/rCl�-: �;�—" �O <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �>�G�Y(h� /'��. <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � i�/,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO `� <br /> BUILDER '�/ ���� COMPANY �3'�'�J�d ��3`-�--`�''� C �,� �11(' <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �oa�. N. s�.��� A"�- """�+� � License# G �z s 1�v� <br /> ELECTRICIAN COMPANY ����C GV�L�- S-a�t L <br /> SIGNATURE �� ��� , REGISTERED Y/ N FEE CURRE� /N <br /> Address � (�Z. Z ` 5 License# ���Soc�r�53 <br /> PLUMBER 1// COMPANY / ' C' ~w' b+�'^9 <br /> S I G N A T U R E �`�"" REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# ��L 1�Z- 6�'� Z � <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 Pertnit 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 8 1 dumpster;Site Work Permit for subdivlsionsllarge 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 Englneered Plans. <br /> ""'PROPERTY SURVEY requlred for all NEW consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Motice of Commencement is required. (A/C upgrades over=7500) <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(PIoUSurvey/Footage) <br /> Drfveways-Not over Counter if on public roadways..needs ROW <br />