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813a80-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department <br /> Date Received Z` Phone Contact for Permittin Jl <br /> Owners Name J 01 'UQl, Owner Phone Number <br /> Owners Address q7tfs 9A, Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Ad'`' Jdrress <br /> JOB ADDRESS —L q+t % LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK/t QI FRAME = STEEL Q <br /> DESCRIPTION OF WORK Ltivl nA C ( <br /> BUILDING SIZE F SO FOOTAGE HEIGHT Z � <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> [JMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i . e . e—I—e e e . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREK LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREA Y/N <br /> Address I License# <br /> MECHANICAL— COMPANY T-M ' <br /> SIGNATURE cco� REGISTERED I Y/ N I FEE CURB Y/N <br /> Address L License# Ct��3b�b <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address License# <br /> Iieieieieeeeeeeeeeieeiieeieeeieeeeeeieiieeeeieeiiieieeiiieiieieiiee <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 Fortes.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 /> _. . . . _ e ram. . .: ' e I N G I <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 Power of Attomey(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 />