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613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> /4�� 1 <br /> �at�Received 8/3 3l o'�- __ / 766 <br /> Phone Contact for Permitti� <br /> Owner's Name /` /. ` L L . Owner Phone Number /� 7 Q-8'Yy D <br /> Owners Addresa � �3s Rb Owner Phone Number � <br /> Fee Simpie Titleholder Name Owner Phone Number � <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS 38d.2� `'y14�QIG��(/��ib� ��,�Kj� !�, 33Sy 2� LOT# �� <br /> SUBDIVISION ZEP160'�fjliZ[S GOID�Y C�OI�s �1'pARCEL ID# O -�l(o'01 I`GO O- 00 0- OOSO <br /> L<�fds'• (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN � Q DEMOIISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM L� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ,?' �,��Nqq- -L �� V�£N^�,A�p/J <br /> BUILDING SIZE �— 3Q FOOTAGE�� HEIGHT � <br /> QBUILDING $ �� VALUATION OF TOTAL CONSTRUCTION <br /> [�]ELECTRICAL $ r�` � AMP SERVICE 0 PROGRESS ENERGY �] W.R.E.C. <br /> CJ <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �jj � <br /> � t � <br /> QGAS Q 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 Q l COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y!N <br /> Address License# � <br /> OTHER COMPANY � SG'���� , c <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address �960� Q� � l O-L L3 �icense# C � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oT Buflding Pfans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"""PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fili out application completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over:2500,a Notice of Commencement fs 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{PbUSurvey/Footage) <br /> Driveways-Not over Co�nter if on public roadways..needs ROW � , . <br /> • ,,:�;. <br />