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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department `� <br /> Date Received I`i I Phone Contact for Permlttinlq lL J <br /> pq <br /> Owner's Name I— C A`�11 ( Owner Phone Number <br /> Owner's Address LQ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> -��+ \ ` <br /> JOB ADDRESS 3 � v �4n V�,l e 4 <br /> SUBDIVISION .��r e rV PARCEL ID# CQ-aLQ`a\—CD10 053OO� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR. ADD/ALT 0 SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME <br /> M�(Q�� F�R�AMME STEEL Q <br /> DESCRIPTION OF WORK `'C 1 LfC,i'^It <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 5 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING S #�- q <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION ) • <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 5 <br /> SIGNATURE ( ` n REGISTERED N FEE CURREN N <br /> Address �qC1` ` License# q 1� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREr. I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr. <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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 subdivisionsilarge 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 /> Direetions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> N over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />