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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 `' or <br /> Owner's Name A,�f=AF)0 A. CC-S �d f Y/Cr/v Owner Phone Number <br /> Owner's Address ���� p COY' / ZgA"e Z� t����F� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n <br /> JOB ADDRESS 3Jro���p PY I.A) 33.SY-0 LOT# �® <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> Er - INSTALL -REPAIR <br /> PROPOSED'USE = SFR Q COMM = OTHER <br /> TYPE'.OF CONSTI$)CTION 0 BLOCK Ea FRAME _. STEEL = <br /> DESCRIPTION OF WORK J /a r Q S e=1 GcJOOd YAi,71 e <br /> BUILDING SIZE ! ya SO FOOTAGE i HEIGHT • Id FT <br /> =BUILDING $ o� VALUATION�OF TOTAL CONSTRUCTION o2 <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �eo, <br /> I h(,CYY� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �,n �1� zd,�,c'` <br /> D YP'"y��lh��S,(x'el <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO S' S Yam"' el <br /> sefb`c <br /> BUILDER COMPANYru <br /> SIGNATURE REGISTERED Y-/ N FEE CURREN <br /> 7r�� <br /> Address License# <br /> ELECTRICIAN el <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address` a License# ' <br /> Q CrJNC'Y o ) <br /> PLUMBER.;, _ COMPANY' <br /> "SIGNATURE. REGISTERED Y•/ N.- FEE CURREN <br /> Address License#' . <br /> .MECHANICAL COMPANY , <br /> SIGNATURE'•" REGISTERED Y,/ N, . . FEE CURREN <br /> Address License.# <br /> .jcv. <br /> '...:OTHER COMPANY <br /> SIGNATUREu ;;;: REGISTERED Y/ N FEE CURREn' Y/N <br /> -Addressr:,, License# <br /> `1RESDENTIAL;;>,•.'Attach(2)PIof,.Rlans (2)sets of'BUIIding-Plans;(1)'set-of-Energy;F6rrris;R;,QT W,Permit for new Construction <br /> .-,Minimum;ten:(10)-working;days':afte�sutimittal:iiate.'Required'`onsite;Constriction Plans;Storlrlwater Plans w/Silt Fence installed, <br /> :;, , - Sanitary,,;Facilities,8�1,,dumpster;Site Vllork Permit for.'.subdivisions/large'p�pjgcts <br /> _COMMERCIAL Attache(2)'60mplete'sets`bl 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/Silt Fence,installed, <br /> ry . ,-.1 •., p w.projects.All commercial requirements.must meet compliance <br /> ::. Sanitary Facilities i�1 dum 'ter.,Site Work Permit for�all�ne <br /> �,t:SIGN;PERMIT Attach"(2f sets'.of,;Engineered'Plans:-:-:' .. <br /> t ""PROPERTY SURVEY required for.all NEW construction... <br /> z' <br /> :Directions: ,,...'Fill.-out application completely. <br /> 'Owner:B*Contractor sign back of application,notarized <br /> 'If over.$2500,a Noticwof Commencement is required. (A/C upgrades over$7500) <br /> AgenQ or the-contractor)-orLPower-of Attomey(f6r1he owner)would tie someone with notarized letter from owner authorizing same <br /> { -OVER;THE COUNTER_l?ERMITTING... .... .(copy of contractrequired) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways:.n'eeds ROW <br />