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813-780-0020 City of Zephyrhills Permit Application �f��� Fax-813-780-0021 <br /> Building Department � <br /> Date Received ' 3 a't -- x <br /> Phone Contact for Permitting <br /> 1 1 1 1.1 1 1 1 1 1 1 i 1 <br /> Owner's Name �C E� ��'t �'�"�' Owner Phone Number <br /> � 12�� � � -s,F�. � <br /> Owner`s Address ��J�n �I�� � 31{.�,3 Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number C <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS 3�! ,Er'!�►�c�-� ��1/l�� Z°�,�1`�1'�'11��5, FL ��.�i�Y ( l_OT# � <br /> SUBDIVISION C�i �{� Z rni IIS PARCEL ID# D�'"aC.-��- �XX�C7-Gl7�c'�c�—�x�C� <br /> (08TAINED FROM PROPERTY TAX NO'TICE) <br /> WORK PROPOSED NEW CONSTR ADDlALT O SIGN � � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE O SFR � COMM � OTHER �r„�kler'Sc�S ;r� 1�rt' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q C <br /> DESCRIPTION OF WORK ��'UV I���'��l`?S��� Gvt°_fi r01��' s pri�v�k.��.r �-�v`'�'z.°Y� C�1 ir't° �'e�� <br /> BUILDING SIZE SQ FOOTAGE �a'�� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGI� Q W R.E.0 <br /> �,PLUMBING $ ,��I�fr� C�� � �efi�/a�-� <br /> / <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �c��� �y� <br /> �GAS � ROOFING � SPECIALTY � OTHER '� ��,v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> OTHER (, ,�� _ ��� ��^ / COMPANY ��- �� ����e���x^ ���j , <br /> SIGNATURE �X �l.l��(.G�Cl/ REGISTERED N FEECURRE� CT N <br /> Address �'1����YC'�C°S��b1"=�'P�I�Cx�'�A-�`''���3`i License# ��6�J'$a-���- I��i�j� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 <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�vl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must rneet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> . <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,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 authori:�ing 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 />