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,\� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting �� � ���'' --,S/�1` z <br /> Oarner's R1ame ��(/L �C C/L D/L�J Owner Phone fdumber <br /> �nrner's Address fJ � s G �� � i�- Ovvner Phone Number <br /> Fee Simple Titleholder Mame Owner Phone Number <br /> Fee Simple.Titlehoider Address � <br /> JOB ADDRESS t , I,�� NZ rl (� FL LOT# � <br /> SUBDIblSIOM PARCEL ID# �s^ ��a/—o v S�0- o G o 6 G ^U 37a <br /> ^ V - - -- - - ' (08TAINED FROM PROPERTY TAX WOTICE) - - - - <br /> HVORK PROPOSED � NSTALLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> `�J <br /> PEtOPOSED USE � Q SFR Q COMM � OTHER <br /> TYPE OF C�MSTRUCTIOtd Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRI��IOfd OF WORK � (rU��G�L (/!f•l `f C [a��A� ^7 G l , �� C�1 <br /> BUILDIfdG SIZE SQ FOOTAGE Q �r � HEIGHT < <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ldoo�0o <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 0 0 0 <br /> QPLUMBING $ �(_ <br /> . - 2 x� <br />� � <br /> QMECHANICAL $ VALUATIOM OF MECHANICAL INSTALLATION ( <br /> � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> � <br />� BUILDER l l e�—�-� COIWPANY p �S� o ��N eG-� G� l C . <br /> S@GMA�URE (.�/ � �L� REGISTERED / N FEE CURRE� /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGfdATU9tE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLfIIIflBER COMPAPIY <br /> SIG(dATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �4ddress License# <br /> MECFlAMICAL COMPANY <br /> SIG(dATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> .4ddress License# <br /> OTHER COMPANY <br /> SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 12ESIDEMTIAL 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 Plans w/S11t Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMIMERCIAL 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 /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proJects.Ail commercial requirements must meet compliance <br /> SIGM PE62flAIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construct(on. <br /> Directlons: <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 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 Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />