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r` <br /> . 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ; Building Department <br /> Date Received � ap� � Phone Contact for Permitting { 27 � ^7 � / �� �/1� <br /> Owner's Name � f}n1N //C C�-!<� Owner Phone Number O �3 '"71S � �06� <br /> Owner's Address � / 'T`T g ��/�t1 e � /th��!-S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � / � 8� e h �S' �� 3-3"r7 2 LOT# � <br /> SUBDIVISION PARCELID# �o� ~a� '' o�J "'Oc�Jd 1i ����"D�°�� <br /> (OBTAINED FROM PROPERTY TAX NOl7CE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �G�D�E �XJSHn� ' t'cJb /ce/�uS�-/{�J fj-j f� �j� l�i'G�' `eG�(LjG <br /> BUILDIfdG SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �b� Q� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � `0� � /S j � )�� <br /> v � � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �^�J � <br /> �I �JI <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �O <br />� � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN �},� COMPANY � �f�GC� �IeC .ic. �N� <br /> SIGNATURE �/6� REGISTERED Y/ N FEE CURREN Y/N <br /> Address �c.^�Oy� nl f ,u �� -� � F License# �c�6a a g�'d� <br /> PLUMBER �y � ���COMPANY U���/�y �Iv�a.,�i�uc �UG <br /> SIGNATURE �� � � REGISTERED Y/ N FEE CURREN Y/N <br /> Address r•�.BO �c� ��itc �pit � License# ��C /��aS� �fc� � <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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permiffor 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 /> 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 8 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 /> ""PROPERTY SURVEY required for all NEW construction. <br /> �' '-'-'-'-' ' ' ' ' i ! � Q�1 i C i i 7 6 C i C C C C � = i..A ' <br /> Directions: <br /> Fill out application completely <br /> Owner 8 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 Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />