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813-780-0020 City of Zephyrhills Permit Application Fax el3aeaoozl <br /> Building Department <br /> Data Received '"j � . Phone Contact forPermtttin ��Illi <br /> Owner's Name C.Y 1 { � Owner Phone Number <br /> 114 Owners Address <br /> �LI.+V W�l� r` Owner Phone Number . <br /> Fee Simple Titleholder Name ( Owner Phone Number <br /> Fee Simple Titleholder Address OS <br /> JOB ADDRESS: LOT# <br /> SUBDIVISION CJf , l" !1�(�� PARCirLID# " � 1� 0tDO ` =' la <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR- ADD/ALT' �" SIGN- 0 [� DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED:rUSE Q SFR 0 COMM' OTHER . <br /> TYPE OF CONSTRUCTION Qq ' BLOCK <br /> _ �rQ^� ' iFRRAMMEE [�J -STEEL Q <br /> DESCRIPTION OF WORK 1Y`Y� t1`tT i On 1 (, !U QA l <br /> BUILDING SIZE SO-FOOTAGE�: - HEIGHT, <br /> =BUILDING VALUATIOWOF TOTAL CONSTRUCTION <br /> =ELECTRICAL �$ . AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMSiNG00, <br /> �_ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ���4 - <br /> =GAS Q ROOFING SPECIALTY, _ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N j FEE CUR�Ra <br /> Address License# {i <br /> ELECTRICIAN: COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y!N <br /> Address License#: <br /> PLUMBERUZZ COMPANY <br /> SIGNATURE { REGISTERED Y./:.N- RRE <br /> FEE - ' Y /} <br /> Address I ..License# <br /> pa- <br /> MECHANICAL. COMPANY <br /> SIGNATURE REGISTERED: YJ N . .: FEE CURRB:. <br /> Address - License#.F .. <br /> OTHER COMPANY. <br /> SIGNATURE REGISTERED 'Y/ W-1 FEE CUI#ittN` Y t N <br /> Address License# 1 <br /> RESIDENTIAL' Attach`(2).;Ptot;i?Iaiis;=(2)setsof=Biiliding P66a (1)'set of E»ergir,Forrns RA�W=Peririit for now construction,. <br /> Minimum:ten.(•1Q)_working days,otter;§ubriiittal'date:<Required onsite;`Construction%Pians;�Storrnwater'Plans w7 Silf Fence installed, <br /> .._ <br /> Sanitary'- ' <br /> 81•<,dumpster Site Work-Permitfor,subdirtlsiohs/iarga protects <br /> COMMERCIAL Attach(3)complete sets'of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit 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""PROPERTY SURVEY SURVEY re_quired-for ail NEYV constcucticn.- <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(for the contractor)-or Poorer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER 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 roadways..needs ROW `' <br />