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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 110 <br /> - 2 <br /> Owners Name , Z <br /> �� A Owner Phone Number - —� O <br /> Owners Address k1 t7. Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I q <br /> JOB ADDRESS 14Y,41 -l e�, 2PK y�`a LOT# � <br /> SUBDIVISION F PARCEL ID# / - 01 pp — <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION PQ `` �jBLOCK Q FRAME STEEL <br /> trJ Q (/ <br /> DESCRIPTION OF WORK -1 -( s1sj(;zA YL/�_aTce I� D) <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ Ili ow <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / /8 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER GG C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER CQNY <br /> SIGNATURE REGIS�TE®RED Y/ N FEE CURREN Y/N <br /> Address 0o27it Q W License# C L <br /> ELECTRICIAN �� ^r MPANY I <br /> SIGNATURE • 6 11 ISTERED N FEE CURREN N <br /> Address P 1^i I�11� 31 License# CC_ 69( <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> Illllllllllllllllllllllllllltlllllllllll.111111111111111111111111111 . <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 subdivisionsnarge 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,Stonnwater 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(far 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 /> i <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />