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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permitting �3 s�� -- ��G-s <br /> Owner's Name ���.1^�— �'�J�S Owner Phone Number <br /> Owner's Address � �3� b�� �J Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> � 3 T{-J- ►q-1� LOT# �� <br /> SUBDIVISION ►1 l 1 vl Cv `�K6S PARCEL ID# 12-^Z6—L'� ���Z►�'�(�l QO-00 l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRaPOSED B NEW CONSTR B ADD/ALT � SIGN 0 MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME � STEEL 0 OTHER <br /> DESCRIPTION OF WORK �i�� �'� ��'� ���S S��L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ �/ � 7� <br /> � <br /> � MECHANICAL $ /t1O VALUATION OF MECHANICAL INSTALLATION <br /> � �_ <br /> C� �t <br /> � GAS 0 ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES �NO <br /> BUILDER COMPANY ���60.n �'� {' ��3�S�d��?6 <br /> SIGNATURE �� � ��� � ���� REGISTERED Y/ N FEE CURRENT Y/N <br /> Address ` g�� N- �7i� � L�t Z_ 3�S License# �'�- �� �4-D 3 �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �— <br /> PIUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL � l ��C�, COMPANY �rOQI�1 /�( ✓ � �� '�'U'�/�S <br /> SIGNATURE —� �� �` REGISTERED Y! N FEE CURRENT Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W PermiC 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 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 construction. <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$5000) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />