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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building epartment <br /> Date Received Phone Contactfor rtnitting <br /> , -Tf I-I- 1� <br /> Owner's Name �C� y� � �^��I 5 S�E� Owner Phone Number <br /> Owner's Address 73a i �f�� �!l�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ���� C��'i.II . I✓ � LOT# � � <br /> SUBDIVISION PARCEL I � /r�S-� `DODD '-DO;DD^��� <br /> (OB7AINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q 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 /> / �"'� �7 -1 ' ) 1 <br /> DESCRIPTION OF WORK �v✓t-2� ,�,� /'�Q�n.�I /�--Z. Q C4�w`T !� IL� r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION O TOTAL CONSTRUCTION <br /> �'ELECTRICAL $ / ��0� oD AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �D� �� <br /> �� <br /> OMECHANICAL $ VALUATION O MECHANICAL INSTALLATION � � <br /> �GAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> �-I��...r.--r�..-•-•--r�...r..-.�...r..-•--•-•..rr. ....�...r.-.�;..i �-.T.�-..-....-^_'.-.--r..-r..-r� <br /> BUILDER COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> ELECTRICIAN COM ANY �r�. �-`+' /'"(a^�' ✓�� 7 ' �SS� 4�S �tiC <br /> SIGNATURE REGIS RED Y/ FEE CURRE� Y/N <br /> Address License# G� �_..1 v(7��p G <br /> PLUMBER COM ANY <br /> SIGNATURE REGIS ERED YJ N FEECURRE� Y/N <br /> Address License# <br /> MECHANICAL COM ANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COM ANY <br /> SIGNATURE REGIS ERED Y I N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIII11111111111111 11111111111111111111111111111111 <br /> RESIDENTIAL Altach(2)Plot Plans;(2j sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale. Req ired onsite,Gonstruclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for sub ivisions/large projects <br /> COMMERL'IAL Attach(3)complete sels of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permil for new construction. <br /> Minimum ten(10)working days after submittal date. Raq ired onsite,Construction Plans,Stortnwaler Plans w/Silt Fence inslalled, <br /> Sanitary Facilities 8 1 dumpsler Site Work Permit for all ew projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructi n. <br /> -�F4-�7�-.--r�.-.�.�-.�-L-F�1-�--f-FI-G�-�-.-�I-�-�1-C-3-.-.-�• .-r..-r��1-4-1-�1-�1-i-1-4��1-4�4�1--F�F�{-F� <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. (A1C upgrad s over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be omeone 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(P oUSurveylFootage) <br /> Driveevay,-NOt over Counter if on public roadways..needs ROW <br />