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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Buflding Department <br /> Date Recelved � � Phone Contact for Permittin �3 �� _f3�� <br /> � <br /> Owner's Name /�-�/L/lQ.�/� /C..l�lf�OL° Owner Phone Number J� C/� �j�Q 1''�j� 3 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �(�� ��E.ICc[.'/��L �I" . LOT�! �33 <br /> SUBDIVISION �l�2 ��?/lC.�� �(��7 PARCEL ID# �y d-� —02� dd yd- �Oc�- /33 U <br /> (OBTAINED FROOM PROPERTY T�ricE)DEMOLISH <br /> INORK PROPOSED � NEw CONS7R B ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �I�/JT �/d CDG�— O • ��I/Z��J <br /> BUILDING SIZE �l x �J SQ FOOTAGE �.S-� <br /> HEIGHT <br /> �BUILDING $ <br /> 9 � VALUATION OF TOTAL CONSTRUCTION x„/i��� <br /> �,� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> PA.SCO PERMiT SEq1/ICE <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (813)78g.�314 <br /> �'� �-866-824-78g�. <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> 4 /�- /- -- <br /> BUILDER � • ���� COMPANY ,�G�"[f� f �^y2G�l7� • �� . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� �� �l � z— f � <br /> License# <br /> ELECTRICIAN � t � COMPANY D�J�,/°�— ic..e/[�/� �fC�Q� <br /> SIGNATURE r^� REGISTERED Y I N FEE CURRE� Y/N <br /> Address 3 S'dd �ri-lQC �I"'. Z -� License# � <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/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 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 8 1 dumpster;Site Work Permit for subdivisions/large 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 FaciliUes 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 requ(red for all NEW consVuction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice 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 ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication 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 />