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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ` <br /> Date Received `/ p �/3 d S _ 6 <br /> �� /D 8 Phone Contact for Permitting cam, <br /> Owner's Name n ( Owner Phone Number <br /> Owner's Address 3� cco C Owner Phone Number <br /> Fee Simple?itleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37� 0 me It cc .I,I3 C LOT# I� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX N TICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION =t BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK �^ c is ri 7� .n. AC e^ P CJ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 4 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE. = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OG,'AS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Y NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY ICI <br /> SIGNATURE REGISTERED JQ2 N FEff CURREN <br /> o Y/N <br /> Address `0 ` 1`1 (.'-r Pi Se�v. /ct`�2sr License# c i c-osi-s6 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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 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 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 /> 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 Attorney(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 />