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f81-3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date ReceivedC I <br /> C Phone Contact for Permitting. <br /> Owner's Name I V''�AAo,,��" Owner Phone Number <br /> Owner's Address o ZI vU Owner Phone Number <br /> Fee Simple Titleholder Name ` Owner Phone Number <br /> i. <br /> Fee Simple,Titleholder Address <br /> JOB ADDRESS ) �} LOT# . <br /> SUBDIVISION PARCEL ID# <br /> y (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> B INSTALL e REPAIR �- <br /> PROPOSED USE = SFR = COMM = _ OTHER q <br /> TYPE OF CONSTRUCTION BLOCK Q.- FRAME = STEEL Q <br /> DESCRIPTION OF WORK l P <br /> "BUILDING(SIZE SO FOOTAGE= HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ '� � AMP SERVICE W = PROGRESS ENERGY 0 W.R.E.C. <br /> , <br /> =P;,LUMBING $ <br /> v" <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED jFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE i r REGISTERED Y/ N , FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ FEE CURREN <br /> �q�_ _G <br /> Address �k �c W j- 3.3/-3 5 License# F�_ i 30 p 5 �� <br /> PLUMBER; COMPANY <br /> SIGNATURE REGISTERED 'Y./ N..: FEE_CURREN <br /> b - <br /> Address -License# <br /> MECHANICAL-- COMPANY <br /> SIGNATURE` _ ' REGISTERED J N FEE•CURREN <br /> , <br /> i <br /> Address License# <br /> OTHER : Ii- -COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# _ <br /> RESIDENTIAL Attach(2)�Flot 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 onsiite,Construction PIans,'Stormwater'Plinsy <br /> t 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 day",s 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 /> Filt out application completely. <br /> Owner l3i ContMctousigni back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 /> OV.ER:.THE:COUNTER PERMITTING (copy of contract required) <br /> Reroofs'if shingles Sewers SeNice,Upgrddes A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter:if on public roadways..needs ROW <br />