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• � 813-780-0020 <br /> , City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �' ' Building Department <br /> ; <br /> Date Received �/� ab�j� phone Contact for Permitting 7�7 �o���� �.3 eJ i vl�l <br /> Owner's Name {�,Qy� Owner Phone Number g J�]'—��,'' y�3 <br /> � rr <br /> Owner's Address eS��.3 G�. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> . <br /> JOB ADDRESS 59 a 3 ! 'T, � /j t f!S �� ,�S LOT# � <br /> I sua�ivisioN PARCEL ID# IC>��G�a 1 � O p-�b� �-�a <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 Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK l�e�"-(b tJ� F �a4 fUlo f't��1 �.U{� i� ��cs � A q� e l e��(G <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ��� ' �,o AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ � D <br /> � 4 ob . o�o S-�3 (� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �-� <br /> � ��h'Vf� ' <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO - I �'��� <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Addroess � License# <br /> ELECTRICIAN ' /� ` COMPANY ��+1Jo�� ���Q,/C 2iUG <br /> , SIGNATURE �� 1�/� L REGISTERED Y/ N FEE CURREN Y/N <br />� Address F ��� �,(�d�f 4J /7d ua,� (/c�{j ,�� License# �C OO�U���'(�o <br /> PLUMBER � " �U.� . �{\�COMPANY �2 0�!G�y,Q- � lu /ti �/L <br /> SIGNATURE w REGISTERED Y/ N FEE CURREN Y/N <br /> Address �0•BO;r ��o ��1/.az� �j�,2, � License# CFCJ��.S��,� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> Illllllllllltlllllltlltllllllllllllltllllllllllllllllllllllllllllll <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,Stortnwater Plans w/Silt Fence installed, <br /> - l� - Sanitary Facilities&1 dumpster;Site WorkPertnit 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 Ptans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliaoce <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"*PROPERTY SURVEY required for all NEW construction. <br /> : C � � : 7CC : : : : : : : : : C : : ' � ' :.,i1011CC � CC � C19CG1091amoCCf0 � 0C " ' <br /> Directions: <br />� Fill out application complefely. <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 /> , <br /> I 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 if on public roadways..needs ROW _ <br />