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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> " . Building Department <br /> Date Received Phone Contact for Permitting - , <br /> Owner's Name 01'�(�1 O�SO Owner Phone Number I <br /> � <br /> Owner's Address � 3� 9 �j� ��i�q l� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> � Fee Simple Titleholder Address � <br /> • JOB ADDRESS 533 �1 '�� I �J`�Gf�'tn �..�I V""� LOT# � <br /> ' SUBDIVISION �- PARCELID# la- a �'o�� -Q U 30� � U30�1� � (/ gD <br /> �� (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> �� <br /> �' WORK PROPOSED B NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> ;:j INSTALL REPAIR <br /> "r PROPOSED USE SFR � COMM � OTHER <br /> Ii <br /> I; TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> �; <br /> i� <br /> t DESCRIPTION OF WORK s°�� <br /> �� , <br /> � BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> i 'f <br /> Il ; <br /> ji OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> ,� <br /> i; �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C: <br /> �., i50 <br /> � OPLUMBING $ bU K�� <br /> a <br /> , OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ; OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO I <br /> i �� I <br /> � <br /> I �; BUILDER COMPANY <br /> a SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> a <br /> � Address <br /> � License# <br /> � ELECTRICIAN � COMPANY I�A�d�( �7Jv�(��C�ric d(oq -�iryf�'(c,,ts C-��c-fr�r <br /> ? SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> � <br /> � <br /> ; Address ����1 f�►' � l� r1v`��S � 33�U License# <br /> � <br /> � <br /> � PLUMBER COMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <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 /> �� <br /> i <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 installed, <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) I <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />