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_ � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildmg DepaAment <br /> Date Received ' phone Contact for Permittin �J � � —� (p <br /> Owners Name !'(y� � � $µJ� Owner Phone Number 0�3��lJ���(JCa� <br /> Owners Address l�7t(e e("P� (J/Y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � �/f,('� �t�L LOT71 ��y'��S <br /> SUBDIVISION ,L�/ir/iJ /7(� 1 PARCELID# -3�'�'a/"��d �Q�qQ — 3/�(, <br /> (OBTAINED FROM PROPERTY T.U(NOTICE) <br /> WORK PROPOSED B NEW cONSiR 8 ADD/ALT O SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR O COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME Q STEEL Q <br /> DESCRIPTION OF WORK i�jC�j � � fj,G' �I S �-p� <br /> BUILDING SIZE SC FOOTAGE I�Y7' HEIGHT <br /> BUILDING $ Va VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ " p�, AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> CJ . <br /> QPLUMBING $ /6 I <br /> �'� ,// ���JrJ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 ' l <br /> l <br /> QGAS Q ROOFING O SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER , �COMPANY ��� S/" D�G <br /> SIGNATURE � REGISTERED Y( N FEE CURRE� Y I N <br /> Address 7�as i License# (.����57�0� <br /> ELECTRICIAN n' `�` Lr V�pMppNy ���/L���/LvC <br /> SIGNATURE LO� REGIS7ERED Y/ N FEE CURREA Y/N <br /> Addreas 90�p �y �/7/� License# �(p <br /> PLUMBER CpMp,qNy <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL CpMppNy <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address � <br /> License# <br /> 111111111111111111111111111111111111111111111111111111IIIIIIIIi1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new consfruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permil for subdivisionsJlarge projects <br /> COMMERCIAL Attach(3)complete sets o/Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construqion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&t dumpster Site Work Pertnit 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 application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (NC upgrades over 57500) <br /> "' Agent(for the contrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs H shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/FOOtage) <br /> Driveways-Nol over Counter if on public roadways.needs ROW <br />