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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � � I�� Building Department <br /> � <br /> �. ... <br /> Date Received Phone Contact for Permitting ��Z �Q3/ __ J��8 <br /> -_r-r_r T�-rrr -- - - -�-rr-rr <br /> Owner's Name G�1� � I %dt� Owner Phone Number ao7- 290" 3/v� <br /> Owner's Address D� �,iJ�{� V , Owner Phone Number <br /> Fee Simple Titleholder Name 'v � Owner Phone Number <br /> Fee Simple Titleholder Address ,v � <br /> JOB ADDRESS J 3�2. 5�h � �$ �. 3;3�'y2 LOT# � <br /> SUBDIVISION Ze�h�r �_Q.�c��-,S pARCEL ID# �2�Z�Q-2� -Ub�{C�� bOLO(�- b02U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COINM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C-10.r �p�r .� ���,i_��- �rne S� � q �L-� �ZL4�.,� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ cr/ D b� VALUATION OF TOTAL CONSTRUCTION <br /> J �Q <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V v �� <br /> ° �� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> - �.� <br /> BUILDER COMPANY �� ��'�-� C�Qr �oo�S Z-v�C . <br /> SIGNATURE REGISTERED Y � N FEE CURRE� Y/N <br /> Address ���5 r�' �� ��h.l�.- �ra�K;9,3i Ile F� 341et�} License# C���Z���� � <br /> ELECTRICIAN ��� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <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 /> I 1 1 1 1 1 1 1 1 1 1 f 1 I 1 1 I 1 1 1 I 1 1 1 1. 1 1 1 1 1_ 1 1 1 I 1 1 1 t 1 1 I 1 I I 1 1 1 1 1 1 1 1 1 t 1 I 1 1 1 1 1 1 1 1 1 1 / <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(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 inatalled,. _ _ <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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER 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 /> i .. ... .,5i,�_. .. _._. ( , , i _ •;�� �. --. - _ , .. _ <br /> . , , . , - . , , i�� • i • ., , � . ' �. , � . , • . <br /> " . �4� .� .. . i . ,_. � , . i . � . � . _ ' ..� . <br /> .� .. r , � _ .. � ..._ '_ " _ ......, <br />