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813-780-0020 City of Zephyrhills Permit Application Fau-813-780-0021 <br /> �• <br /> � Building Department ,. <br /> Date Received " r� 1�� phone Contact fo�Permitting O�� ��� — ��J <br /> Owner's Name ���� ��C� � ��� Owner Phone Number <br /> Owner's Address ��/�' ��=G'�� GV Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS s��O (��1 �It✓` �'Q w �t `�S LOT# � <br /> �� SUBDIVISION - PARCEL ID# �/ —��P—O��OD�D`-07��0'��(� /- <br /> f.i � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> C� WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> l;.i i INSTALL REPAIR ' - <br /> �� PROPO.SED USE Q� SFR . Q COMM � OTHER <br /> �j TYPE 0`F CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> �r .. <br /> � DESCRIPTIONOFWORK ad� ld���'+'� .S�r`d«� <br /> ,� ' <br /> , <br /> �� BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �f ' <br /> G; <br /> � i BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> L <br /> � t ELECTRICAL $ .. AMP SERVICE � PROGRESS ENERGY Q W.R.E.C: <br /> � ; ��S � � /lS7� <br /> � OPLUMBING $ , ' <br /> ;� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION. <br /> t <br /> � QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> € <br /> i � <br /> � <br /> r <br /> a BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> �� ELECTRICIAN COMPANY U , �I._,. � 1 <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREA Y/ <br /> � Address License# }.;._ � � � <br /> � , � , , <br /> I PLUMBER COMPANY � � � <br /> � SIGNATURE REGISTERED . Y/`N '- FEE-CURRE� '� " Y/N' -� <br /> Address • License# . - <br /> MECHAIVICAL. , COMPANY <br /> i SIGNATURE REGISTERED Y�/ N:• ;,� Fee Cut�en Y-/N - , <br /> • ; ' . . <br /> ' , Address � License# <br /> � OTHER COMPANY <br /> ` SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N, <br /> � <br /> �` Address <br /> _ License# <br /> t', . . .. .�� ' . . ..�; ,, , , . . ' _. _. . . .. - : . : . <br /> RESIDENTIAL� Atta'cli(2)Plot Plans;(2)�sefs of B.uilding Plans;(1)set of Energy,.Forms,°R=O-WPermit"for new construction,. . <br /> (:.`,. .Min'i`m`'um�ten,(:1'.0)':working days`aftensutimittal date.`. Required onsite;=Constriiction=Plans;Stormwater Plans w/Silt Fence`installed, <br /> ��' Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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.(]O)working days after submittal date. Requi�ed onsite,Construction.Plans,Stormwater Plans w/Silt.Fence installed, <br /> '� Sanitary Facifities&9'�dumpster.Site Work Permit for all"new projects.All commeroial requirements must meet compliance <br /> : - SIGN PERMIT Attach-(2),setsof Engineered Plans. � , <br /> '•"PROFER'tY;SUR1/EY required for all NEW construction. <br /> Directions: <br /> Fill out appllcation 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 ifshingles Sewers ,__�..�,ervice:Wpgcades-A/C_�.- :Fences(Plot/Survey/Footage) � <br /> -' �.t ,i., :s�_♦c' ' <br /> Driveways-Not over Counte�•if,on_public:roa'dways..needs ROW <br /> � i i ,- ..�C .I .� ' � r � <br /> ' .t . ..r =. - v..rvZ. �. .-�.;.,t^`.-. .. _ _ " .. - <br />