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, 813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r; 2 � �� <br /> Phane Contact for Permittin ��3 � _ l(y�� <br /> OwneYS Name Q� �"(�� Lx�j���C �r <br /> Owner Phone Number 6�3'"��(�- 9 � <br /> Owner's Address .3� �.S �OSC� L{� z�j,�s 3 3-y� '� _ - ' 3j <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS �cl�(O s� Q�� `�, ��/_ 5 �QS J �� <br /> v� � J LOT# <br /> SUBDIVISION Q� G / CC r� C pqRCEL ID# O Z -Z Z <br /> - 1- r�v�v--ooi„3ao_v �3 <br /> WORK PROPOSED B (OBTAINED FROM PROPERTV TAX NOiICE) <br /> NEW cONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM f <br /> TYPE OF CONSTRUCTION � BLOCK L� OTHER <br /> Q FRAME � STEEL � <br /> DESCRIPTION OF WORK PS c'CG,C i'c? S✓C• �j e �bG� p-� QCC' d�t vy/s' '� /L( Q <br /> � r, <br /> BUILDING SIZE SQ FOOTAGE� <br /> HEIGHT � <br /> QBUILDING $ <br /> VALUATION OF TOTA�CONSTRUCTION <br /> �ELECTRICAL $ <br /> �'7 (?j� AMP SERVICE � PROGRESS ENER(dl� � W,R E.C. <br /> QPLUMBING $ ' <br /> "� r ` �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � �{� <br /> .�QGAS Q ROOFING Q SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA �YES NO � <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREN Y!N <br /> Address <br /> License# <br /> ELECTRICIAN /, I %C � O �- <br /> SIGNATURE COMPANY V/v � � /c7i,y/ Lf � <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address y�� Q�� � <br /> � Vr'S` C_YP ac�OLcC �°3 <br /> License# �����2 <br /> PLUMBER 3 <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� y/rJ <br /> Address <br /> License# � <br /> MECHANICAL � <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address �_� <br /> License# �— <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> 11111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)worhing days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work permit 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 Pertnit for new construction. <br /> Minimum ten(70)working days after submittal date. Required onsite,ConstruIXion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construchon. <br /> Directlons: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over:2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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 if shingles Sewers Service Up9rades A/C Fences(Plot/Survey/Footage) <br /> Uriveways-Not over Counter if on public roadways..needs ROW <br />