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• � � 813-780-0020 City of Zephyrhills Permit Application Fax�13-780-0021 <br /> Building Department <br /> Date Received phone ContactforPermitting <br /> -i-I-i-I"TI T-r - 1 <br /> Owner's Name J V : `Q S 4� Owner Phone Number �J�' ��-• �� <br /> Owner's Address t� W "� �`� � Owner Phone Number <br /> e\w'o���. d�� 1�Lk�� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ��-\� ���' �� � ����. �'1... � a LOTit � <br /> SUBDIVISION �►��@l\y,`O \ PARCEL ID#� � �'"� `'9�� " �'��OJ <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW cON57R e ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> IYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK GN� �L i5 O A '�.��A ii'� r' �CA�� R�,i�+'V� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � �iy� AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> —.—� <br /> QPLUMBING $ <br /> � l � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓ i `� � /�] <br /> �� �� � -�- z.� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER _ �g <br /> ii .w <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO V <br /> BUILDER COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN 1`\ c COMPANY '����`.��A MA11� �L�,S <br /> SIGNATURE �� V,G�C �yL REGISTERED Y/ N FEE CURREN Y/N <br /> Address W� h. V \�n License# �C.�3OO� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA' Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Altach(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Sile 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 len('10)working days afler 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. (A/C upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Attorney(for the owner)would be someone wilh notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMIT'fING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />