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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �''.. ',� <br /> � �� Phone Contact for Permittin �/ �1� __ ��� <br /> Owner's Name '� w�� f�`L,�s*-��'7 `� Owner Phone Number .�3G '�C%- �C j, <br /> Owner'sAddress _' /�° i„� �..U,%�.i4%� ���� � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS �7 ,�4:> �,7 ;^G��C-/l."-I ���� LOT# �� � <br /> SUBDIVISION �/' � ��rJ/��/`�/%� � PARCEL ID# �T �.� '���� ,� �C` , T���7��� „ � <br /> (OBTAINED F�PROPERTY T�TicE)DEMOLISH <br /> WORK PROPOSED NEW CONSTR , " ADD/AlT � SIGN <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �l��� Gr/,(1� `" j/,�/i G�"3 l�/Ti'�- Gf,G�'-/�j� ,�yC��y� �'CL�arCr - <br /> BUILDING SIZE SQ FOOTAGE ;�rY_�C� HEIGHT <br /> BUILDING ) VALUATION OF TOTAL CONSTRUCTION <br /> $ �f.�C:�,� <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ � � �� <br /> VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING Q SPECIALTY �_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE�isreREO Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> OTHER _��r;y� � COMPANY /,� �-{ �lia✓-7 /�tr�G~ ,,,:.� <br /> SIGNATURE Ki�� REGISTEREO Y N FEE CURRE� Y/N <br /> .�.° , <br /> Address , L � � , � 33 S G� License# L`C.:�:l'y'�1� �� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Ptans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8�1 dumpster;Site Work 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 Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Conshuction 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 /> T1111111l�1�11����11���1 A��11� <br /> Directions. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over 52500,a Notice of Commencement(s required. (AlC upgrades over E7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)v�nould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appflcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROV1/ <br />