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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 5 <br /> Date Received Phone Contact for Permitting o2 — <br /> P7 D7 <br /> Owner's Name d t-)GL Owner Phone Number <br /> I. <br /> Owner's Address / U Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple'TitleholderAddress ,�,, <br /> JOB ADDRESS 7-ob LOT# <br /> SUBDIVISION PARCEL ID# O Z/0 . 0 OO o 00o2 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> a; <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM [ OTHER Jai` <br /> TYPE OF CONSTRUCTION 0+g BLOCK Q FRAME = STEEL Q <br /> DESCRIPTION OF WORK <br /> 'BUILDING*IZE SQ.FOOTAGEE:�:] HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0.. PROGRESS ENERGY 0 W.R.E.C. <br /> i <br /> =P:LUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS = ROOFING 0 SPECIALTY = OTHER ' <br /> FINISHED r FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ,; COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURREN <br /> Address License# <br /> � <br /> s. <br /> -ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN <br /> i <br /> Address License# <br /> PLUMBER{. COMPANY <br /> SIGNATURE REGISTERED- "Y/ N' FEE'CURREI: ':Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE. i!/!t 4�i. REGISTERED N 'JoelFEEa <br /> CURREN N <br /> Address License# � <br /> OTHER.;:,.; COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address License# <br /> RESIDENTIAL Attach.(2),Plot;Flans;,.(2)sets.of Building Plans;(1)set of Energy.Forms;R=O-W Permit fo�,new construction, <br /> Minimum ten'(10)working days after submittaf date: Required'onsite,Construction Plans;Stormwater Plan§,w%Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsfiarge 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 aftersubmittal 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 /> ---------------- <br /> Ditecticos: <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 contradtor).or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> -OV.EWTHE.000NTER 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 />