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813-78o-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — �_ Sj '7^ _. 3✓� Fj <br /> � Phone Contact for Permittin 3 c3 <br /> Owner's Name ` '� G Owner Phone Number 8�.�-S/ - j_j �'� <br /> Owner's Address ��� G �" L�-� �� (',�, � ��,` G pvvner Phone Number /,�' - ��d� � / '7G- � <br /> Fee Simple Titleholder Name /� cjP G � Owner Phone Number <br /> Fee Simple Titleholder Address �5�7� Y�l`�=1' l'A�s (',��� �- ,jG�' Ze / r�.%�s f L 33.5��� <br /> JOB ADDRESS �p� _ F N' `� LOT# � <br /> SUBDIVISION ri f�k%ocq� �oti'Clu� EL F/ � J �' �.- — <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED NEW CONSTR ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM �] OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �C �/a C'E G'/^� N f�L s�%✓ /� �j�,�lc kJi�,/�1>u�� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGNT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � 3oa . � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [_] W.R.E.C. <br /> `���1� ,�0� <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � J ��� <br /> 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER ''� -� � � � <br /> � ANY <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRiCiAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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 Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 8 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RO +, � <br /> .AFi?'1fi+AR� r <br /> bv;ti�. +• �eya,�' ,. . <br /> : <br /> c'r G". �sBti �!lsot�R. .i r„= � ' �'�i <br /> Iz3��F8 )i • � •� <br />