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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-002� <br /> Building Departrnent � <br /> Date Received �phone:Contact.for ParinitHn �_ — <br /> Owner's Name �� � �� 6� �4� Owner Phone Number <br /> Owner's Address ( Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> t ,,�_ <br /> Fee Simple Tltleholder Address � < l � ''' <br /> JOB ADDRESS 1' � LOT# � <br /> SUBDIVISION ��,J��� � PARCEL ID# �� �� �I -'� �� �r� <br /> . ' ._ (OBTAINED FROM PROPERTY 7'AX NOTICE) <br /> WORK PROPOSED "^NEW CONSTR` ADD/ALT Q SIGN" Q ' Q DEMOLISH <br /> . B INSTALL e REPAIR � <br /> PROPOSED USE Q SFR [� COMM � Q 'OTHER` <br /> TYPE OF COWSTRUCTION : Q BLOCK ` Q FRAME Q � STEEL Q <br /> DESCRIPTION OF WORK � ��r���- � � ��—'� <br /> BUILDING SIZE _� " SQ FOOTAGE�. . HEIGHT _ , . , <br /> QBUILDING $, `�>�=�=a�. f,b:-- <br /> VALUATION•OF 70TAL CONSTRUGTION <br /> QELECTRICAL $ AMP SERVICE' `Q' PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING $ ' � ' � <br /> OMECHANICAL � $ VALUATION OF MECHANICAL INBTALLATION <br /> Q GAS Q ROOFING Q SFECIALTY-Q - OTHER: <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ����---�"`�`�=-�;r.--=�__-� COMPANY ��� �l�a_� <br /> SIGNATURE '��,�-� REGISTERED Y/ N �e cuRRen Y/N" <br /> Address License#'� ` <br /> ELECTRICIAN...• �: - COMPANY � - � - <br /> SIGNATURE ~' REGISTERED Y/ N FEE'CURRE� Y/N` " <br /> - s , . . - �, <br /> Address �License# ' <br /> PLUMBER , COMPANY.� - . - <br /> SIGNATURE { ' .REGISSERED Y./-N. _ , FEE,cuwte�� Y/N <br /> Address - - � License# � <br /> MECHANICAL � � ' . � COMPANY . . . � . <br /> SIGNATURE � ...REGIS.7ERED .Y/_N . FEE 6URREA" Y/N--. <br /> Address'' • " ' ` License.# <br /> OTHER ' ' � ' COMPANY �T <br /> SIGNATURE�-�- ' -- ` � � `REGISTERED Y/'N_.. " FEe,CUR�� Y/N <br /> -Address': . . _ _ . _ . ,. Cicense# � <br /> _, ,;.,. - <br /> - RESIDENTIAL=: ;"�Attact�(2);PIoY,Plans;:.(2)setis�of:Buildtng°P.,lans;`(1)°setofEnergy�Fomis;`R=0-W'Permitfor"newconstiuctton, ' <br /> _.Minlmum;tan�(10)uworlting;days;after,.su6rrilttal:ilate:;Requlred.onslte;-Construo8on Plans;Stormwater Plans w/S(It Fence tnstalled. <br /> �� �SanitaryjFacilities;&�_1�dumpsterSite�WorksPermit for subdivislons/,la►ge pro)ects� ' `'` " - ` � <br /> COMMERCIAL Att�ch(3)complet�set§'of Building Plans�plus a Ufe Safety�Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. -_ <br /> Minimum ten(10)working days after submittal date. Required onsite;ConstrucUon Plans,Stormwater Plans w/Silt Fence�nstalled, <br /> Sanitary Facilides 8 1 dumpster.Site Work Permft for all new:proje�:All commercial requirements must meet compliance <br /> - SIGN PERMIT Attacti"(2)"set's`of�Enginee�ed;Plan's.,,.,r�:.�. �"� ... � ' � <br /> ""'PROPERTY St1RVEY reguired,for aII.NE1l1/_construcUon.� ,. - <br /> Directlons: .. . � -. _ _ . <br /> FIII out application completeCy. <br /> Owner&Contractor sCgn back of applicatlop;nbtarized <br /> If over 52500,a Notice of,Commericemen�is requlred. (AIC upgrades over 57500) <br /> �..;�.,;,.w-;.;,. <br /> " /�qent(for the�oontra�ctor)or`Po'virer of Attomey(for the�owner)would be�someone with nota�ized letter from owner autho�izing same <br /> DVER THE COUNTER�PERMITTING�-���-=(Frontof�Application�Only)• - ' ' <br /> Reroofs(f shingles Sewers-. Service Upgrades A/C. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..nee�s�ROW' <br /> �::: <br /> , <br />