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�- i <br /> � ,� ��- 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • � Building Department <br /> Date Received � �3 ��Z _ �3� g CQ <br /> Phone Contact for Permitting <br /> Owner's Name ��Cp��T'� V��� Owner Phone Number ���� ��L� �-b�S <br /> Owner's Address �,S Zy N GvKo�I� AvE Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3"7 52�1 N�vv,nr-. �}VL LOT# Z� <br /> SUBDIVISION ��� �`���5 PARCEL ID# ���ZS' ��' �O �O - Q�d O- OZ�I C� <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 Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK RldP1.�G� 1�/ W �N��S SIZt? FIM�S 12C� W.'�u Do�4� N�r L w�NDaw S ��/� IS37 a� ) <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> UILDING $ ��C O VALUATION OF TOTAL CONSTRUCTION � �531� <br /> 7 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/� _ rQ � <br /> U��� /� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION q ��� <br /> �j !/ � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER 2� `��P/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> . <br /> BUILDER ��' ��-�, � COMPANY N Ew S�d IIJ 1►-��OV� 50��'C�oN S <br /> SIGNATURE Ca41l1R Fi4 SAMV L� OL Yt1i1N REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Nao l af�t� �i�t�2 8[.vi� T�^'►PA 3361� License# C2��33 0 8 2Z <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 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 <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 /> IIIIIIIIIIIIIIIIIIIIIIt11111111111111111111111111111111111t11111t11 <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&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 /> . . . . . . . . . . . . . . . <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 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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />