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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 - <br /> Owner's Name Owner Phone Number O$-&��-2 <br /> Owner's Address & 3'Y Al -As Ao 1 g-p T> ZE H _ 2 Owner Phone Number gao --O L <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple,Titleholder Address <br /> JOB ADDRESS 043'/ A kA8A5­rr_--R DZ.,0,1-:PC-NR14ILLS• -v1, 836-46 LOT# <br /> SUBDIVISION t'NC7KAL-D TP6S TE- 9 V PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW NSTALLSTR a REPAIR SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF.CONSTRUCTION- Qq BLOCK Q FRAME 'STEEL Q <br /> DESCRIPTION OF WORK _ 3 g !f ci� W F $ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> r,503BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> - Q,E,LECTRICAL $ AMP SERVICE PROGRESS ENERGYVe.E.C.,P,LUMBING $ 1 ( t,, ;� �rJMECHANICAL VIi�UA IT OO EH NI�CA L I L TI ON � <br /> 0 $ �-1�T <br /> Q"GAS Q ROOFING 0 SPECIALTY 0 OTHER i) U <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA 0 YES NO )I <br /> BUILDER ; ,�� �� /� COMPANY O �p�jn�Y <br /> SIGNATURE ' C�i `-J ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address W License# <br /> i - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address License# <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED' Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE;CURREN Y/N <br /> Address - License# <br /> ..OTHER•_.; COMPANY <br /> SIGNATURE REGISTERED Y/ N .-FEE CURREh. <br /> .Address License# <br /> RESIDENTIAL Attach(2),Plot Rlans;(2)sets.of Building.Plans;,(1,)set of Energy Forms;R-d-W.Permit for new.construction,.. <br /> Minimum ten(1(1)'iniorking 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..need's ROW <br />