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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received Phone Contact for Permiriin _ <br /> Owner's Name L Owner Phone Number �Z S(o7—SI�'� <br /> Owner's Address �DY7�0 !�j �[E (2. Z-1{1 5�{Z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Sisnple Titleholder Address <br /> JOB ADDRESS (0730 YJO�TF1 I.JkKE 1�R1 VE Z�P�i 1lLS 2.—C7(oV LOT# IS <br /> SrE F'1�1 Gi..E A-T <br /> SUSCIYISION s��v�oa+cs� �wEsE 1 PARCELID# ��"��`Z�-0�5C7�C�JdGip--0150 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR� ADD/AlT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � S�R Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK i� FRAME � STEEL Q <br /> DESCRIPTIONOFWORK f�IQS CHIM 1�t1.tD Ml I�IE�S SiDr►.►6 2E� 1 <br /> BUILDONG SIZE ��4 � �K S(�FOOTAGE Z��S HEIGHT L S���ES <br /> [�BUILDING $ .`.Z6S '� VALUATION OF TOTAL CONSTRUCTION (rNc.LuDES Ro�F KEPH+c2S� <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� <br /> � <br /> GAS ROOFING SPECIALTY OTH �� <br /> 0 � Q � ER <br /> FINISHED FLOOR ELEV S FLOOD ZONE AREA QYES NO ��� � (�� <br /> � <br /> BUILDER COMPANY � i,-�KKtN Ct�1JST1217C`�IC� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �O��X. �yT4 �1�� �f'TY � 33 ��IZ� License# �C�J �s—l� � <br /> ELECTRiC1AN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L'Icense# —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# � <br /> OTNER -- � COMPANY �-� �RK"�� m��'T�C��� <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> I►ddress ���� (47�I �f�b�C,''fTy FL 3 L(o-- y7y l.icense# CC � ��ZB(�(p, <br /> iiiii <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Woric Permit for subdivisionsflarge 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 wnstruction. <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 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 /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadv�!��s..r�e�s,ROW„ ; , : ,,., s.,,s�,.,l-;-:��„� <br /> � �+ Y;�;,4 a<��sy �,�y,;, <br /> . ��,: .. „��,,.:��o ps���> <br /> ,.�, .�- i. ti:: �sM ,-;X� .,, �.,_ �:. <br /> - . •-:a:-� -,;��+ .,,� <br />