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813-7e0-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received —7 phone Contact for Permitting <br /> 1 1 1 1 1 1 1 1 1 1 1 <br /> Owners Name a n rS Owner Phone Number <br /> Owners Address (J S l/" Owner Phone Number <br /> Vt'31)I �t -L <br /> Fee Simple Title of a Name F Owner Phone Number <br /> Fee Simple Titleholder Address // <br /> JOB ADDRESS SV ' Y r 3 LOT# �y <br /> SUBDIVISION PARCEL to# _2�0 V — l/ O/1VIO <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED a NEW CONSTR B ADD/ALT [� SIGN = = DEMOLISH <br /> INSTALL REPAIR T� <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK+ = FRAME = STEEL = y) <br /> DESCRIPTION OF WORK CO\ `i f <br /> BUILDING SIZE , I SQ FOOTAGE O r HEIGHT <br /> [2MUILDING $ VALUATION OF TOTAL CONSTRUCTION (JI FCC' <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION oftv-d <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> d <br /> �-� <br /> BUILDER COMPANY /9 V V11tg <br /> �<� <br /> SIGNATURE R GISTERED Y/ N FEE CURREK Y/N <br /> Address G qar, License# CroQ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE -- REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER r COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address I License It <br /> OTHER �— COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit o new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater 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,Stormvrater 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 />