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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �`� � ' �O`� <br /> Phone Contact for Permittin <br /> Owner's Name ��LV e 5 Qyn Owner Phone Number <br /> Owner's Address �4 OD��b�UG�, �/4lC�j �� Owner Phone Number <br /> Fee Simple Titleholde�Name Owner Phone Number � <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS IQD� �� �Je � �j �/�, '— �-�,F}- LOT# � <br /> SUBDIVISION �.?!L D �S . PARCEL ID# ��-�(Q aG!'Obo7D DOQQ� D(S s' <br /> (OBTAINED F�PROPERTY T�710E)DEMOLISH <br /> WORK PROPOSED B NEW CONS7R� ADD/ALT 0 SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK K=/nQ�e �` � l/�}� 1r J Td/1� � `1~� �C d �re/'I') 2l�7Yj P�� <br /> BUILDING S12E SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ 2�y�� d VALUATION OF MECHANICAL INSTALLATION <br /> l � <br /> OGAS [� ROOFING � SPECIALTY � OTHER <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# <br /> MECHANICAL COMPANY /7�"/�iQ S /7'!3 iq�f� 7�� �r�/V(i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess 'r7��� �!e �-�/� S r�C.., License# G'�9 Co�3q � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I 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&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 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 /> -r,-.�-,�.,� <br /> � ��������,��..���„" <br /> IJiiil L 1 i 7 i IJ j <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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> fteroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ; <br />