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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — � -� <br /> Owner's Name L .���2.��'C..� 7 _✓���- �`"a���• Owner Phone Number �' �� • 1/ oZ <br /> Owner's Address 3��O�� fl-t.2��G� Owner Phone Mumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS cciv�_ LOT# � <br /> SUBDIVISION �-� p,���2 n PARCEL ID# 7 '�� � — �O�D- Qd O� � o�Y� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER i/i¢ <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK (�� K �''i �` E ��� �'fi�j <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $���, `H� VALUATION OF MECHANICAL INSTALLATION <br /> Uv <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COM PANY <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 t � � �i �y <br /> SIGNATURE fIG�L/ REGISTERED -Y� N FEE CURRE� N <br /> Address / (,�.� 3 C7/ �Q cez �� �l°j' ' License# C�(�,S � ,f� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 Plansw/Silt Fence installed, <br /> - -- Sanitary Facilities F�1`dumpsfer;Site Work F�ermit for subdivisions/la�ge 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&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 /> Owner 8 Contractor sign back of application,notarized , �` ' <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> '* Agent(for the contractor)or Power of Attorney(for the-owner)would`b'e someone with notarized letter ftom owner authorizing same _ , �- <br /> OVER THE COUNTER PERMITTING (Front of Application Only) - ' , � <br /> Reroofs if shingles Sewers Service Upgrades �A%C Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs R01N, � , <br />