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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��3 '�i _ ��1 I <br /> Phone Contact for Permittln <br /> Owner's Name '`��`���-� �'�� N�� �►���-�1 c=N� Owner Phone Number ��� �77'�}—��� <br /> Owner's Address "t�� �'� �TP�-OC� �.�H �1 V—S Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �U� �� � �{i.l,..,_L '�'3-��"Z <br /> LOT# �� <br /> SUBDIVISION �•'���i� C�:,wNy C.cs�,qp , PARCEL ID# �����'�'�Z� • �f''Z'� ' ���%° ��i <br /> C� (OBTAINED FR�OM pROPERTY Tnx�NOTlcel DEMOLISH <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT SiGN <br /> INSTALL REPAIR <br /> PROPOSED USE• Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION �'] BLOCK Q FRAME �] STEEL Q <br /> DESCRIPTION OF WORK N'LZ•D�l„ ���Si'�nik: i.:Q�� {�T (.�1���,�� <br /> BUILDING SIZE ���X ���� �Y.a1. SQ FOOTAGE � ��� HEIGHT �� I <br /> [�BUILDING $ ����.� � VALUATION OF TOTAL CONSTRUCTION � 1�'t,�►�• C� <br /> �ELECTRICAL $...� AMP SERVICE �7 PROGRESS ENERGY <br /> ���GC�.C�; � �AJ Q W.R.E.C. <br /> �PLUMBING $ <br /> �?j C7���;GG <br /> �MECHANICAL $ �— VALUATION OF MECHANICAL INSTALLATION <br /> �1�,c�'�' �'�:` - � �.�;3 c <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �(NO <br /> �� <br /> SIGNATURE � ��� COMPANY � M� ��`�TR�-Ti�� GY= ���+Rah�A, ��t�- <br /> REGISTERED Y/ N FEE CURRE� Y I N <br /> Address SR�y', ��1►yR.N�'y.S,k �`3.��-i License# �L l�l"�"�Z'Z <br /> ELECTRICIAN COMPANY 1�A��'1!� �>�kC�2-t1�:- + �NC- � ✓ <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �'�'� l IG`tN_�. ��rEk�.+ +�l 3`�°�Z�y License# �.�-�3�� �5�� � 17^,`= <br /> PLUMBER ' COMPANY �L'-��� ���"ti0�►��s- C�v�i`t1�Q+��Q� �-J t�_, ��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Addres �� �X �c'vQ. ��i�►�C:,h�- �t-�-- 3`tl>11 <br /> License# C��`�Z-� Z-v`�^ <br /> MECHANICAL '► COMPANY ���`�=� ��u��' '���U�� t��- <br /> 51GNATURE � . REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �a �1 4{�ti ���,��(�i <br /> � . `?S�'s:i�.5 Llcense# C'IY�s� �Z'�`.J 3�.+G . <br /> JTHER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> tESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sa�itary FaciliUes 8 1 dumpster;Site Work Permit for subdivisions/large projects <br />:OMMERCIAL 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 instaNed, <br /> Sanitary Facilities& 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> tIGN PERMIT Attach(2)sets of Englneered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> iirections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requi�ed. (A/C upgrades over 37500) <br />' Agent(for the contracto�)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br />�VER THE COUNTER PERMITTING (Front of Application Only) <br /> eroofs if shi�gles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />