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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> a <br /> � 2 7 i <br /> Date Received phone Contact for Permittln �J ✓ �� - <br /> Owners Name Owner Phone Number <br /> Owners Address t ( � ; Owner Phone Number �W 7 <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS � � 1�I J, � , r y LOT# � <br /> - SUBDIVISION O D PARCEL ID# ��-a�-�I a�o J 0 1 U�—vO <br />� (OBTAINEO FROM PROPERN TAX NOTICE� <br /> WORK PROPOSED NEW CONSfR ADD/ALT 0 SIGN DEMOLISH <br /> INSTALL e REPAIR �l '����� <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ������ �./1 G� 1��i71"' <br /> BUILDING SIZE SQ FOOTA�E� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION [��('�� I <br /> �7J <br /> T� V <br /> QELECTRICAL $ � IMP SERVICE (Q PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ � � ��G���� <br /> 0 <br /> � � ��� �8�,���.- <br /> I QMECHANICAL $ ,. ALUATION OF MECHANICAL INSTALLATION /� ,n„ <br /> . , � z �� � ` n� ``'� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER . � �AM j th�p�`� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO, /2� � �� C �'�� � <br /> V + <br /> � /Q� �BUILDER /(/ f/L f O PANY ��1 '�Q•�� LL�II•L�.IJ` I 'I� T" j���/ <br /> �� SIGNATURE REGISTERED Y N FEECURRE� Y N <br /> y � n <br /> Address (� � License# ,` . � <br /> ��� SIG ATURI� ��� V�C�. �� '= O ANY �l� � SW �. �' ,`����Ir 1�'� <br /> REGISTERED Y N FEECURRE� � Y N � <br /> Address lPi� r� 4.�,/ I �� 5 License# �l� � <br /> _ ��PLUMBER p �Il� �eY�C�I I „S IM/I� Ll.� <br /> � � <br /> SIGNATURE REGISTERED Y T N FEE CURREA YJ/N <br /> Address � (JW �U� W��� C!l�i I�T 1 ��SL��License# <br /> �� s <br /> ��MECHANICAL � -� ( � ANy �Mt�rf�j�� .���i,�CC1f/�.9!`�> ,j�' � <br /> SIGNATURE �� v� EGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED 'Y� N FEE CUR EA � Y N <br /> Address __ � _i�. v License# I N _ '� <br /> IIIIIIIIIIIIIIIIIIIIIII�IIIIIIII��IIIIIIIIIIIII111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building P�ans;('I)sat of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after subm ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities$1 dumpster;Site Wo Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)sel of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days after subm ttal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanftary Facilities&1 dumpster.Site Wo Pertnit 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 EW construction. <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((or tha o er)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicati n Only) <br /> Reroofs if shingles Sewers Service Upgrades A/CI Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..need ROW <br /> I ' <br />