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, a�aaso-oo2o City of Zephyrhills Permit Application Fax 813-750-0021 � <br /> Building Department <br /> , � k <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name tJG y �i 5� Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS 7 7 3� c1� �• LOT# � <br /> SUBDIVISION. PARCEL ID# �` '01 b���•��l7'G �OC7 ' � D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �1 w� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> LECTRICAL $ �vO �.> AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> . <br /> QPLUMBING $ ��y� <br /> � V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTACLATION V� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUIL�ER - COMPANY - " - - - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN ,n r� R OMPANY� �`�'e�t ���'R��`c' Y/N <br /> SIGNATURE �"v`�"� <br /> � � <br /> Address O e1� 6�. � �. S License# -� e,. � C�1 5 3 , <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 subdivisions/large 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 8�1 du�npstQr.Site'WoFk Permit.for,all new projects.All commercial requirements must meet compilance <br /> SIGN PERMIT ABach(2)sets of Engineered Flans: � " � �� <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 52500,a tdotice of Commencement is required. (AIC upgrades ovar$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner),wou,ld be someone with notarized letter from owner authorizing same <br /> _ _ : - - � <br /> DVER THE COUNTER PERMITTI,NGy=;;;',:';"(F�ont,of Application�Only)-" �; <br /> Reroofs if shingles Sewers � .=Service Upgrades:A/C `` Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if�on publio�roadway,s.�needs ROW _ , � <br /> i <br /> 0�� � <br />