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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �� Building Department <br /> ,Date�ieceived _ / c� <br /> ' � Phona Contact for Permittin ( 2.b 9 _ / �Q <br /> . � r r r i�r r _ _ _ _r r�� � <br /> OwneYs Name `�TY �( �'"'(� y/�' �fi Li�S Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Add►ess ' <br /> JOB ADDRESS Ct'A'� ZOO '- C�'fY � ZEx`lPN'Y�I�1'I Lf�S A��1'�� . LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK S�Cs+`I �2 �-vJz T�l.�21.J /4'1�i(�i�'ZON � fE„(q,(f /�cj" �.�.q.,(� �0 <br /> BUILDING SIZE �O��+X �GI� S�FOOTAGE 3S�S� HEIGNT ZO/ <br /> /�`��.___.\.�. <br /> �BUILDING $ j,�o� VALUATION OF TOTAL CONSTRUCTION � � <br /> ��r <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. l�� � /�/����/� <br /> �PLUMBING $ \�� ��7� `�� ^ <br /> 'J ��MECHANICAL $ VALUATIONOFMECHANICALINSTALLATION /�'Ll�� !-�' ���v'�G <br /> GAS ROOFING � �Z� ����\�` ��� "`��'���- <br /> � Q Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO N` � Ht�� <br /> �!'s u��r er#/�l Y�G <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE GURRE� Y/N <br /> Addrecc License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE rxecisreReo Y/ N FEE CURREn Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER 0 _ �_/ COMPANY � �'oWT1�(5 p-F 1"IG. <br /> SIGNATURE �--�t'�/Z_ REGIS7ERED Y N FEE CURRE� N <br /> i4ddress �ZI W +`�►�6U/9 'rx�r+P�+ � 3310( �icense� �S I Z-Od47'Z 3 <br /> � � ii � � i � � � ii � � � � � � i � � � i � � i � i � � i � � � ii � � ii � � � i � � ii � � ii � � � ii � i � � � � � i � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)se[s 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 inslalled, <br /> Sanitary Facilities 8,1 dumpster;Site Work Pertnit 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 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 mee[compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> 1 1 <br /> DlreMions.• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> It over 52500,a Notice of Commeneement is required. (A/C upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMiII'ING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />