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- 813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �� <br /> Date Received �-2 —'3 phone Contact for Pertnitting 7d/� -,Sp�s � ��� <br /> T�rm <br /> Owner's Name 1:���N ���rt1Q�� S. ��ec Ti2u � Owner Phone Number <br /> Owners Address / •�� L7U/� �Q 07'7 a �(,�. � l„ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS /7� I ��LL [�LV�� <br /> LOT# C�] <br /> SUBDIVISION ��H������C��A� pqRCELID# �T'�5�����/�Q � �QWQ �003� <br /> (OBTAINED FROM PROPERTY TAX N TICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK -�'N�JeI U r/I"D C��/ 1O 12. �C�iDDEG <br /> BUILDING SIZE 7Z"O N 38/�6� SQ FOOTAGE �O� HEIGHT ��,� �� � <br /> BUILDING $��/ �/O VALUATION OF TOTAL CONSTRUCTION ��� <br /> e f5 r `�p Pla�- <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W R.E.0 /� � � Sl I� <br /> �PLUMBING $ �(U /�� � � /`1Q/U'EL <br /> LJ % �`�/ 3� C' l <br /> r�✓ <br /> �MECHANICAL $ VALUATIONOFMECHANICALINSTALLATION ��1 �I(JC _ �� <br /> 1�D �������b. <br /> OGAS � ROOFING � SPECIALTY � OTHER /� � � <br /> �'^ -�-0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '�L � :S <br /> \7J <br /> BUILDER � ,/> �, v COMPANY �a• D . <br /> SIGNATURE '�� REGISTEREO Y/ N FEE CURREI. Y/N <br /> Address <br /> License# <br /> ELECTRICIAN ��Q f�� t, V COMPANY T Q.�, <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address p1� License# <br /> V�, f� /� <br /> PLUMBER � �� ,`, COMPANY �� l7.�. <br /> SIGNATURE V REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL //.�1 � COMPANY 1. (�. �• —1 <br /> SIGNATURE T ✓• �� REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# —� <br /> SIGNATURE �""/ � COMPANY /Q,�, � <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)set of Energy Fortns;R-O-W Permit for new construction, <br /> Mmimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facalities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-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&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construct�on. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a NoGce 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 notanzed letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Apptication Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />