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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ 3 f•� Phone Contact for Permitti� - <br /> Owner's Name � STl (� t Owner Phone Number �SZ�5�7-5�4 3 <br /> 3354 <br /> Owner's Address �v�� I-}t?1STf tJC�T�IJ ��. �.-f-�1LL Owne�Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS -] �KSi�}I PJ V � Z-F�iLLS F1-- �S Z.-'7�(7 LOT# �) <br /> SUBDIVISION W�w�� !")/�tSD� PARCEL ID# i C7--7_.1o�--Z I—O 1 ZC)--�C�OUC'>-- C��i O � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WQRK 2E �F 1nJ�TN S NI4�G1_ES <br /> BUILDING SIZE �9`X � � / SQ FOOTAGE ��'�'� HEIGHT � 5��� <br /> ' BUILDING $ �O VALUATION OF TOTAL CONSTRUCTION <br /> 5o�i5-- <br /> ELECTRiCAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ( � ���� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFIIdG � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA �YES NO <br /> � <br /> BUILDE _______ COMPANY �� �'^'4��N C01�1 ST1eU�--I��� <br /> SIGNAT RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �O� $ox i 4?t-i �r�1>E e�`r`f 335z-� ►47y �icense# e-�-� ��-�� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESID�NTIAL 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil[ties 8�1 dumpster;Site Worfc Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pemiit for new consWcUon. <br /> Minimum ten(10)working days aRer 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 /> Directtons: <br /> Fill out application completely. <br /> Owner&Coniractor sign back of applicatlon,notarized <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over s7500) <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 Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIotJSurvey/Footage) <br /> -;.,�..c.t.�.,,q AfiAY�ia� <br /> Driveways-Not over Counter if on p���.lneeds ROW .+s;��.1a:a.A'1�fiAtA4��+ <br /> ;.c �S E3S. �itduq tnslt>i� <br /> -,:�� <br /> �Al .qt� .r+++r�a� viuE ;'���cat��n tit�r. <br /> "�'!1i!1R �nr•�" -,, <br />