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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - _ �'l M ��� � � l ( � <br /> Phone Contact for Permtttin <br /> T T � <br /> Owner's Name � i� 'Pi4S�U C.Ex�l.l -' Owner Phone Number ?j�Z-'r'.9�o7-SI�13 <br /> Owner's Address �O�'gOyt.(q3� ��C� � 3 c�Z,(o-�q p�er Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �j��p ��� 5"r(zE[_� ZE (t}{��,L,S �L 335+.(-Z LOT# �iL1 L2.- <br /> SUBDIVISION PARCEL ID# (�-w Z(-�I�-7l�2C�U-02LX� <br /> C� (OBTAINED FR�OM pROPERTY TO TicE1 DEMOLISH <br /> WORK PROPOSE4 B NEw CoNSTR� ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM d OTHER S'7b gU(L I NG <br /> TYPE OF CONS7RUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK .TN ST�1-L- ST�.f{�E $i.J!l..D t �1 C-s <br /> BUILDING SIZE $f x g� —1 SQ FOOTAGE �� HEIGHT $� <br /> BUILDING <br /> $ ��� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAI $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ ' ��� - / <br /> �/ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATI,QN3" FLOOD ZONE AREA QYES NO <br /> BUILDER ,� •L �6 LAR.K1 N QJt�1S�UC7-1 O 1� � <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �O.�K 1�{71-I �ADE e I'T�/ 335Z6-14 y l.icense# '�� �Sy°) —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —� <br /> PLUMBER COMPANY <br /> SIGNATURE RECaISTERED 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 onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivislonsAarge 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 consUuction. <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 Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out appiication completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> if over E2500,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 nota�ized 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 MO�I.J,tA.A/1�i �ra4�i�� A��y <br /> �� .�,�.r,. �� ...,is�q ,,nec'�4t <br /> ,' , �,�j ��� cax.. m�n� rh7� 11(?1C .�S uiM .q� MM110�kM <br /> .',a<a' t'�4.►CHl s ;r rrt,::� 37►ACl�?tIf?M /r�»C:� <br />