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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> � •- <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name � �(i � L��Z� Owner Phone Number ���� � � � <br /> Owner's Address �� i� E� � 1�-- l Z(�'YI.S' - f l Owner Phone Number (,��7 7 '��d� , ��� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���0 �`y �F�� 2 . Y.✓/� �/1"i!� ����� LOT# � <br /> SUBDIVISION �/�{`�A�� �f��tA. S PARCEL ID# e� �� �`S "����6���— � ��� , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) / <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROROSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAME � STEEL Q <br /> . <br /> DESCRIPTION OF WORK c.% (r f � '.� l b7` " �[.,1;� �, U 2�' <br /> BUILDIMG SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION�OFTOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> � � ���� <br /> �MECHANICAL $ ��� �y� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER ��/3�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br />' BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# <br /> ELECTRICIAN COAA PANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � I <br /> PLUAABER COBAPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL �l COMPANY s A4!"- "( �S ./`ISCpC�'N'� I�I�P , f�-iv�c� <br /> SIGNATURE ��/ � ��✓�w REGISTERED Y N FEECURRE� N <br /> Address ���5�� ���t9� �O7 ��1�� � F/ �� ��Z� License# �/�� �� � �a � <br /> OTHER- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> RESIDENTIAL Attach(2)Plot Flans;(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 sutidivisions/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 foF 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 Motice of Commencement is required. (�41C 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 COUPVR'ER PERMITTING (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 />