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r <br /> 813-780-0020 ��v,,�� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - \`„� Building Department <br /> ,�� <br /> Date Received Phone Contact for Permittin '�Z •��( -- � <br /> .s- - <br /> Owner's Name !//l/ /-� �'/c'�y( �//�t;-/)i1 (� Owner Phone Number ,�,�� '-�7 � "����" � <br /> Owner's Address � �7 ��� �-�" , l �L/1/�/LG 5 Owner Phone Number � <br /> Fee Simpie Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 5%`7 Ui 1/� � � <br /> , E. � ��/Ll� L • .�,���� .�� LOT# <br /> SUBDIVISION � PARCEL ID# � � - � �--�� ��� --�7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT � SIGN Q �� DEMOLISH <br /> e INSTALL � REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK l/C�L�IC �LZ�L_J�-G�.S 1�/c�F— <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT �� <br /> �BUILDING $/ 'f � /// VALUATION OF TOTAL CONSTRUCTION <br /> Jl 7 <br /> �ELECTRICAL $ � AMP SERVICE Q PROGRES�ENERGY ��R,�.�� <br /> � �� ,,� <br /> QPLUMBING $ ��� l,t��U � � � �Gti <br /> `'( -, <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` �� �— <br /> G��( �` <br /> QGAS Q ROOFING _Q SP�CIALTY � OTHER �y��- � <br /> FINISHED FLOOR ELEVATIC�KIS � ;.�LOOD ZONE AREA QYES NO 3 � � �� <br /> / , <br /> BUILDER t ��y��° ^ I JCOMPANY c�l�`/� /��1 }�/l�S ,L'� /C'< GC�' <br /> SIGNATU f G/( f � REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# ���'�C�7,�(�%��,j <br /> ELECTRICIAN COMPANY O�fcG�S ��-f': �t''/�__i � �� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C�LJ��.�.�.�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address Lfcense# 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)wotking days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGfltles 8 1 dumpster;Sfte Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Athach(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 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 construcUon. <br /> Directions: // ,�,�f��- <br /> Fill out application completely. ���,�� [� <br /> Owner&ConUactor sign back of application,notarized ��.�� -( <br /> If over;2500,a Notice of Commencement is required. (A/C upgrades over 57500) ��3�m <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(PIoUSurvey/Footage) <br /> Driveways-Not over Crounter if on public roadways..needs ROW <br /> „� • . . '���, ,• .' , . .. ,., , �, . <br /> , � . <br /> ,.�.� ..,��.,. . , `y • <br />