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813-780-0020 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received f � �� phone Contact for Permittin J.�2 �� — (O�! <br /> T f—f G l.� y <br /> Owners Name ��►',Q.s 'C 1�Z,� Owner Phone Number O��� ��5' / �/ <br /> OwnersAddress D�� /'�1 �fN �• OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address �— <br /> J08 ADDRESS ��� ��' � J� /, �S S7 LOT# �� <br /> SUBDIVISION r ^ PARCEL ID# O�' �� � - oeoe-D H <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED � NEW coNSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK W �C�I I�"'� d Gt� / i � 0�t��f�'�/i ,H G�l S�/C . <br /> BUIIDING SIZE � SQ FOOTAGE� HEIGHT �/ �r��v� �'� <br /> � 1 1 1 1 1 1 1 1 1 1 1 1 <br /> �BUILDING $� / .�P VALUATION OF TOTAL CONSTRUCTION <br /> I /� L (,Q <br /> ��--�. <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R/.E.C. <br /> QPLUMBING $ I "1 ��� <br /> ,� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS d ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> / <br /> Address License# <br /> OTHER � COMPANY �YATT��AG Gy� <br /> SIGNATURE REGISTERED Y/ N EE CURREN Y!N <br /> Address G�/ C.:I/fu�.�cr.�y�E � Q�.��lD License# ��ee o,�-ro 9 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 I I 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&t dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildinq 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,Construdion Plans,Stormwater Plans w/Silt Fence instafted, <br /> Sanitary Facilities 6 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 /> Ii over 52500,a Notice of Commencement is required. (A/C upgrades over a7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fronl of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />