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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ,. . ,� Building Department <br /> Date Received ��p.� Phone Contact for Permitting ��3 ��Z _ �37� ��� �� <br /> Owners Name <br /> ��R,1�� �V 'lZo� Owner Phone Number U�� ��,�- � �8 Z <br /> Owner's Address ��5 Z J��d 5t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��S Z JEN� S� LOT# 1� <br /> SUBDIVISION LRGSC��F+W IrI�U.S PARCEL ID# 35'ZS�Z,I — O 1 Z O — DODOO - �'3 j O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> 1 v �.. � o - tJ �E+ L. N 1 <br /> DESCRIPTION OF WORK 'WLC,of�t� G1� EX� 't�NV SI.A D R �► �[►�+G ►+ 1 OF <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $ �`' ��fb VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> o � c ����3�� <br /> PLUMBING $ �O <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ,,�/� �� <br /> `�� �����Q� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER 3 �����`"u`. 1" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �'r,� <br /> . <br /> � . • � <br /> BUILDER 1�,.. � ��--` COMPANY L��'�y� Q����"�N� <br /> SIGNATURE ���IGf�L S'tA1�ls � REGISTERED N FEE CURRE� /N <br /> Address y�9 7 w.wA��lx, �' � T iy 31G3Y �icense# �G� �s�8�b`� <br /> ELECTRICIAN �� � COMPANY �. i� <br /> SIGNATUR �� REGISTERED Y/ N FE CURRE� Y/N <br /> Address License# <br /> PLUIVIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllltlllllll <br /> RESIDENTIAL 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 8�1 dumpster;Site Work Pertnit 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 Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW construction. <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 owner)would be someone witti 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />