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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Build ng Department <br /> t � <br /> Date Received Phone Contact for Permittin – <br /> Owner's Name ��/2SON %��'wi/' Ci4.ae Owner Phone Number ��2" 3?��8 <br /> Owner's Address /,�,sdS wB�/��r'�/���i�euc 8�acb Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �oo�� �D��l �'��' LOT# �2 r/g <br /> SUBDIVISION L'i7�j' O� �il//s PARCEL ID# //-26'- 2 o0/D–D 7,r1lO– G/2o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e WSTALLSTR 8 REPAI T 0 SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COM Q OTHER <br /> TYPE OF CONSTRUCTIOId Q BLOCK Q FRAM 0 STEEL Q <br /> DESCRIPTION OF WOItK � � dvf �c.� - �X , `�s�`� /,�5�/ <br /> BUILDING SIZE SQ FOOTAGE� liEIGHT <br /> OBUILDING $ �JD -- VALUATIO OF TOTAL CONSTRUCTION <br /> / <br /> �ELECTRICAL $ AMP SER ICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ���t� <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION 't� r <br /> [�GAS Q ROOFING Q SPEC ALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER . � �, C�OMPAMY 7�Er'i3'i�.e/ ,Lt7o� S�/v�t <br /> SIGNATUFtE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN OMPANY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER OMPANY <br /> SIGIdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> NIECHANICAL QOMPANY <br /> SIGMA7URE R�GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> i <br />, RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br />�__ __ Minimum ten(10)working dys after submittal date._Requiredonsite,Construction P�ans,_S.tormwater_elans_w/_SiltFenc.e_installed,___;—__ <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivistons/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 construcGon. <br /> Minimum ten(10)working days after subrriittal date. Required onslte,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 /> Directions: <br /> Fill;out application completely. <br /> Owne�&�Contractor sign back of application,notarized <br /> IE over�2500;a NoNce of Commencement is required. _(A/C upgrades over;7500) ='� , <br /> .. '�-''�; . <br /> Agent(forthe,c6ntractor)or Power af Attomey(for�the owner)woul� be someone with notarized letterfrom owner authorizing same <br /> :f�j '.f l � . <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ' ' "�• <br /> Reroofs if shingles "� Sewers�,-,.`= Service Upgrades AIC Fenc s(PIoUSurvey/Footage) .`' Y�.`'i;�. , <br /> Driveways-Not over Counter if on pu6lic roadways..needs ROW � ,- _ <br />