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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> �• <br /> Date Received � Z <br /> Phone Contact for Permitting 3 � - �Q Z-d <br />�"=- Owner's Name Y {� . � � Owner Phone Number <br /> Owner's Address �l/ � �CY�w�cJ�E��� �, Ownet Phcna Number <br /> Fee Siinpfe T.iftefiotder hlame Owner•Phone.Num6eE-. <br /> Fee Simple TlUeholder Address <br /> JOBADDRESS � Z Pc�'Khr(�lev�:: j,}�. ZC�yrF 333�2 LOT# � <br /> SUBDIVISION �(V1il yCACe PARCELIDII ���Z�"����3��"00�� <br /> (OBTAIIdED FROM PROPE0.N TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> �flitOP0.SED:US£ Q SFR � COA7111�1 � OTWER ' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK (� (n l� 1 �F�Od F <br /> BUILDING 51ZE SQ FOOTAGE� HEfGHT � <br /> �gUIL�ING $ ry� VALUATION OF TOTAL CONSTRUCTION <br /> "6 <br /> QELECTRLCAL $ AMP SERYICE. � PROGRESS ENER�Y Q W.R.E.�. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QOAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />' A 6.1 <br /> BUILDEFt C�/�`,.�(n,@/� � COMPANY ' Y�W I S � <br /> 51GNATURE �f/"'� REGISTERED J N FEECURRE� N <br /> Address @ �4q C c;,�L �1�2H1 �v�-t� License# `r:(���(c3� I <br /> ELECTRfCIAN COMPANY I <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> PLUMBEt2. GOPAPAPlY <br /> SIGNATURE REGISTERED YI hI ,_ FEE CURRE� �Y/N <br /> Address License# —� <br /> MECHANICAL COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATUf2E �REGISTEREO Y/ N FEE CURRE� � �Y I N <br /> Address Llcense#�� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permft for new constructlon, <br /> Minimum ten(10)working days after submittal date. Requlred onslte,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br />� Sanitary Facll(tles&1 dumpster,Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> M(n(mum ten(10)working days after submlttal date. Requfred onsite,ConsWction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanftary Facflities&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 requfred for all NEW constructlon. <br /> ` a' - <br /> Qlrectlons:• - <br /> Fill'ouhapplication>completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is requlred. (AIC upgrades aver$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMIITING (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 />