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i <br /> i <br /> � 613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> _ , � � Building Department <br /> � I <br /> IDate Received Phone Contact for Permltting — <br /> II � � i � � r� � � � � � � <br /> � OwneYs Name � ` •i U�� � Owner Phone Number ,' y <br /> I Owner's Address ��,Q 3 ATi)� ] 1 g� Owner Phone Number <br /> � <br /> IFee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> � p ``D <br /> II JOB ADDRESS �p 1 O��y'e�.C: Q V z �'{�1'� I U�j • LOT# � <br /> I SUBDNISION PARCELIDlF �7�J " a���il ��V��`�� _ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e 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 � STEEL Q <br /> DESCRIPTION OF WORK TT tl N V t�(1 S-�I 0 a.-h an <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $4 �^� VALUATION OF MECHANICAL INSTALLATION �� <br /> !JV <br /> FINISH�ED FLOOR ELEVATIONS� ROOFING 0 FLOOD ZONE A�REA OTHE�YES NO \� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY 7'ti�i� �0�� ti�r�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C 57� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities$1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)camplete sets of euilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constNction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit(or 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 52500,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 PERMII'TING (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 />