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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' � g('3 "�� `� __ (oJ 3 / <br /> Phone Contact for Permitting <br /> Owner's Name �V(,4�f/'e�-S Owner Phone Number <br /> I Owner's Address 3��� S—��i � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Mumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS g J����`� LOT# � <br /> SUBDIVISION PARCEL ID# ! r��� - a2-1 ���(�`� ' �`7.J�� � �� � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK l-J ( �'l /�'f <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ ¢Tr�, VALUATION OF TOTAL CONSTRUCTION <br /> (i�) <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ � ����� �� <br /> � � Pp� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� 'V <br /> � <br /> .. � � <br /> � �� �� <br /> �GAS 0 ROOFING SPECIALTY � OTHER ��� <br /> FINISHED FLOOR ELEVATIONS Q�. FLOOD ZONE AREA DYES NO ��j� <br /> `l <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 j`� License# <br /> 1 <br /> OTHER f J/� COIIflPANY � /��- � (� �� l 1 � <br /> SIGNATURE `""�`C L"`�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� `t'� �C.< License# C'-C C- 0 S 7� �Z <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 subdivisions/large projects <br /> COMMERCIAL Attach(2)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&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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers _ Seryice..Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br /> , <br />