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813-780-0020 City of Zephyrhills Permit Applic�p pER��-����V��,�ax-813-780-0021 <br /> Building Department (813)788-5314 <br /> Date Received .� u ` <br /> � ' Phone Contact for Permitting _ <br /> Owner's Name ��"e ��(t��` �Q.d�t1 Owner Phone Number 6��7�v�J -�7.y 7 <br /> Owner's Address 3�S� ���//�-� !/ �! Q /2CY ��� Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C —� <br /> Fee Simple Titleholder Address <br /> J08ADDRESS 3YSy�- �/�/ �r�-ht�- C��(.� LOT# �-�� <br /> SUBDIVISION rn�`- �IS�CC d4-rw , PARCEL ID# °��� '-' ��OOVv- a��w - (�v/ � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADDlALT � SIGN Q I� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER C` L/� . <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q I <br /> DESCRIPTION OF WORK �-��r�� J � 5� CQ/L GL� <br /> BUILDING SIZE �� X�3 —� SQ FOOTAGE Sa-� �� <br /> HEIGHT <br /> �BUILDING $ !�i S-�O 0 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ A, /�� 4 <br /> / '� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �((�� <br /> �'`.C`� <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILOER 4=�� '�//, � r`) L� �� COMPANY �-J�/! � ✓�GLCl1( - .�IC . <br /> SIGNATURE �— Gt� / l REGISTERED Y/ N FEE CURRE� Y/N <br /> Address /S� ,�� ,�(/1 /P /� ( • License# C —� <br /> ELECTRICIAN ' S� / _ . j�C�� COMPANY /'�v�/) ;�/Y�, <br /> SIGNATURE �-k�L REGISTERED Y/ N FEE CURRE� Y/N <br /> Address p • � �U x /,r License# C <br /> PLUMBER ��� �), (��'-� COMPANY `3 - T '�//1 <br /> SIGNATURE G-fl REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ot 7e�s�� � (,�/ G License# C <br /> MECHANICAL , COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 8uilding Ptans 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 FaciliGes 8� 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""**PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement ls required. (A/C 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 Applicatio�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 />