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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 cic�2- �� — �3,�� <br /> Owner's Name � ,c,5 � � D�.J Owner Phone Number <br /> Owner's Address � �( e C C ��� Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> k. k <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S LOT# � <br /> SUBDIVISION r PARCEL ID# l 2`2 � � � � b OC� <br /> � - - '-'_ (OBTAINEC.FROMPROPERTNTAXNOTICE) <br /> WORK PROPOSED B 'NEW CONSTR B 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 0 STEEL Q <br /> DESCRIPTION OF WORK v� c� � j Q F (.J i �l � e�- �,o <br /> �CTG�.` �0�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ p v VALUATION OF TOTAL CONSTRUCTION ' <br /> 25�� <br /> QELECTRICAL $ AMP SERVICE � 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �,�oS <br /> QGAS Q ROOFING Q -SPECIALTY 0 OTHER - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ! I j / <br /> BUILDER 1 � �i�� COMPANY 1 C �r�r/1, (�1�. <br /> SIGNATURE REGISTERED Y/ N FEE CU E� Y/N <br /> Address ( (� � 2 �O License# �CG �3 2�r26 <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 /> 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 subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new wnstruction. - <br /> Minlmum 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 /> Dlrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />