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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . � <br /> Dabe Received Phone Contact for Pertnitting - <br /> Owraers Name �'1 RS°� ���3yT{���� C�V�'�'� Owner Phone Number g 13��S`Z-�!y 1 Z. <br /> Owner'sAddress �5�� t�� �a �C.QH�(1�.�1\L'�S �l. pv�nerPhoneNumber ��CO� 2�gZ- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S Jr� O �i cST, Z•�1�N�"� �}1L�. I . LOT# � <br /> SUBDIVISION PARCEL ID# ��-2'�_�'S � �y�a d � �0 d 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR • <br /> PR�POSED USE Q SFR Q COMM Q OTHER 'Z.0 L�C� 1� c, 5 ST��`�1 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �+L pl-'�C� � TQ 1�� s ST�M ��0 N C-'y`�/ �V C.'��/�/O��� <br /> ii � � g � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ �� `/ <br /> � I J <br /> Q MECHANICAL $ 5� �Q as VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER rv, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ]��v" <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGRIATURE 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 �1 A-C- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 1 <br /> Address ��iJ G'��►VE �• [.gkcl.���v �F�.'�3ff l3 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# c�CO$7 3 3 <br /> IIIIIIIIIIIIIIIIIIItlllttlllllllllllllllllltllllllltllltlllllllllll <br /> RESFDENTIAL 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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> �� _GOMMERCIAL 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 /> Sartitary Facilfties&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 /> '*"PROPERN SURVEY required for all NEW construction. <br /> �_�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . : : : . . . : . � <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 contractor)or Power of Attomey(for the ovmer)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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />