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813-780-0020 City of Zephyrhills Permit Applicatior� Fax-813-780-0021 <br /> Building Department <br /> Date Received '�_ jb a Phone Contact for Permittin rrj-� y3 �� -- ^���� : ' <br /> Owner's Name ���h�- ���/✓�f Owner Phone Number 4313' �-�3 ���{�-Z- <br /> Owner's Address -S�S� �y� �T���� , Owner Phone Number � <br /> Fee Simple Titleholder Name --1 Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�s I r� 7K ST�EE T Z��K /2 H//�S F1.. 3 3S t1 Z LOT# �1 � S <br /> SUBDIVISION � PARCELID# ��-Z�'"ZI -DD/O - a'�LaO � G�O�O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDlALT �� SIGN � � DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK � FRAME �� STEEL � � <br /> DESCRIPTION OF WORK G�/�nc/v�ti ,�cPja�i����" S/Zt Fot Si Zt- /.� <br /> BUILDING SIZE � SQ FOOTAGE�] HEIGHT �� <br /> �BUILDING � sy Z y' p� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ � � �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ' <br /> nJ L � <br /> OGAS 0 ROOFING 0 SPECIALTY � OTHER "'� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> � <br /> i , / %`� <br /> BUILDER Y COMPANY ��,� ��/ r/a/�, i f `'�'�'"� /J �M <br /> SIGNATURE REGISTERE� 'Y l N FEE CURRE� I N <br /> Address ,�`.%s�tMr�i�./ � - License# .��`c:. ;'f;';�S ��y 9 � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> PLUMBER COMPANY —I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> MECHANICAL COMPANY —1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREf� Y/N <br /> Address License# � � <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 submittal date. Required onsite,Construction Pla�s, 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$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the coniractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatio�Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />