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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> - • Building Department <br /> Date Received <br /> �� ' Phone Contact for Permittin ._ <br /> Owner's Name ��(G�l� /�./l/�/-��'� /� , Owner Phone Number <br /> Owner's Address �� 5 �='�L �L�Q �?L /�l'`�'r�l-1'l��S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S� U 6 th- S�� ZC�/�'`j'ie/f1�LS LOT# �� <br /> SUBDIVISION PARCEL ID# ^ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> bVORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK A(�- C �✓�'N W�T � � <br /> BUILDING SIZE ���'� 5Z 7-G � SQ FOOTAGE � K� HEIGHT L� � <br /> QBUILDING $ VALUATION OF TOTAL�(+1SIE�UCTION ��f� <br /> ._---� <br /> � <br /> QELECTRICAL $ AN�P�S�RVICE � � � P OGRE W.R.E.C. <br /> � f�y� � ; <br /> QPLUMBING $ J_'_ �� ___. / � � 1�� <br /> .._._.------- r, <br /> QMECHANICAL $ , �v y� , V LUATION F MECHANIC NSTAL ION <br /> _ _ �-- <br /> OGAS FIN SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES 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 L(cense# <br /> MECHANICAL COMPANY /�'f(ZE •S .�E�J�tSG r/- �bL1A-►G+ <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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 Faalities&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 application completely. <br /> Owner 8 Contractor sign back of application,notartzed <br /> If over 52500,a Notfce of Commencement is required. (AfC upgrades over E7500) <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 Appllcatfon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on publfc roadways..needs ROW �4,�� F,�� ���,��,~ "�--_--,�"'� <br /> ! �`£B4t i�It e3�',. . `_';'•`;� � <br /> "i�� ,t 4nt�, i • '�'y'�� ; <br /> �....e....»��nt'vt,MF� <br /> �'MSI.'i'��li��..�....,- . ,-... ,�#�Y <br />