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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �('� �=�,� __ ���� <br /> Phone Contact for Permittin <br /> a f <br /> Owner's Name � U �F�- Owner Phone Mumber ���� �g��'��� <br /> Owrner's Address ls7�c�-� �"�' lJ�} �(� Owmer Phone fdumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �� � �"�' �1//l� h� LOT# � <br /> SUBDIVISION PARCEL ID# �'� `"2� 'Z(,—ODC� � d 1 U DO � (��C��O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q C] DEMOLISH �\� <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��fL= ���`C%��-� ��V11 (,(� 3 l•,�rvv 1/1'�' <br /> BUILDIPIG 51ZE SQ FOOTAGE "f��� HEIGHT � C v�� <br /> UILDING $ �Q a� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ � D�� AMP SERVICE Q/PROGRESS ENERGY Q W.R.E.C. <br /> dLUMBING $ ' � J�� <br /> ZC� f�ll� -�� ` �S��s �-1 5�1� <br /> MECHAIVICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> 2� �� ,� 2 /l�D�- <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � Z"�I ! ��\ �` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N�� ��'^� ��� <br /> s-3b-�� <br /> BUILDER COMPANY b`�d.i�vJ C��S""C�(�.C�`l���� <br /> SIGtdATIDEtE REGISTERED / N FEE CURRE� Y/N <br /> Address � �' �j�� � ' (i�, �2 License# <br /> ELECTRICI N COfUIPANY ��`��f� ��CC.'�C,�� <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �, a � � License# �-�3 bal3'�3 <br /> PLUMIBER �C�G� COMPANY ��(�.,d� ��2 �l��i N <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � ��i-1,` ��D r � �!. `Ul l License# �� ����b 7' <br /> MECHANICAL COMPANY �A-�2 S l`�P-�S �! �' <br /> SIGNATUEtE REGISTERED � Y/ N FEE CURRE� Y/N <br /> Address License# C>Q � � �j <br /> OYHER COMPANY <br /> SIGMAYURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDEPITIAL 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 instalied, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisions/large 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 Pians w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERflA1T 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 52500,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 PERMITTlNG V` �.(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 /> • . .._ <br /> � <br />