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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 Partniltin j� � �- — �� <br /> Owners Name ke� �COY�'C� Owner Phone Number <br /> Owners Address 1433"r� tC'��l �-N J O��'�' I L1. �a�`�3'� pWner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ���� "P I�1C��Y� �1JL LOT# 3ss <br /> SUBDIVISION PARCEL ID# 3 -aS-al-Ol D- [�dDOO— SSD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTfi 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION O BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �'��T' S �� wQ�l �SCC���3C� �5� <br /> BUILDING SIZE S�FOOTAGE ��'✓ HEIGHT � <br /> QBUILDING $ �//�� VALUATION OF TOTAL CONSTRUCTION <br /> 7[O <br /> QELECTRICAL $ � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ . / ( �/Jyin /� <br /> f� I ��'ll`r <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � t � <br /> �r;�j�" <br /> QGAS � ROOFING Q SPECIALTY � OTHER %`}1 ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> \�J <br /> BUILDER i�� �COMPANY ,/ hI-��ic-�"'�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �AS��,Qj� ,� �l� License# LrCJ�v57�0�'^ u 1�`1 , �i.1C <br /> t"'1 l <br /> ELECTRICIAN � ��� � COMPANY Y�t� ♦ �'G�• � ✓` <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address G/�4�� License# ��Q�]S�� <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 1 N <br /> Address License# � <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIilillllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-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 Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a LHe Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit 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 /> D�rections:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> M over=2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "" qgent(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 if shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />