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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received 0 301 5� Phone Contact for Permitting, <br /> 9 Ij <br /> Owner's Name Owner Phone Plumber <br /> Ownees Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION PARCEL 1Dj9H_aW_a1_ (Dta) -DOOM- 1� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR. ADDIALT SIGN DEMOLISH - <br /> INSTALL REPAIR <br /> PROPOSEMUSE Q SFR COMM- OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING I$I q <br /> =MECHANICAL (illVALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE& NO <br /> BUILDER COMPAW <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I - I L_XLN <br /> REGISTERED Y/ N FEE CURREN _j <br /> Address 4 License#, <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/-N. FEE CURREN - I Y-f N <br /> Address I_e_V)f_M 9)0. License# I U�Oq a 3 0 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YJ N FEE CURREN <br /> I License#. <br /> Address r <br /> OTHER COMPANY : <br /> SIGNATURE REGISTERED I- Y/ N.T FEE CURREN <br /> Address F_ 77- License#F <br /> ................................. ................................ <br /> L4+1 <br /> RESIDENTIAL,- Attach(2),Pkif.Plans;,(2)tbts,of Bulldih igPlains,-(1)sat of-Energy',Fo6s'R-O;.W Permit for new construPtion.. <br /> Minimum ten-(.1 Q),working1days afterstibm'Ittal-datb.�Required ohsife.'&nsii6c66n:Olans-,�Stormwater'.Plans wl Slit Fence Installed, <br /> Sanitary Facilities&I-.du;npster,-,SlteWo.tkPeffnitf.brsubdivisionsfiarge.pjoject$ <br /> COMMERCIAL Attach(3)completeLSeti 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/Slit 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)sbtsof Eriginearid"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. (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 /> DYER THE COUNTER PERMITTING -(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roa0ways..needs ROW <br />