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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 /A/ Owner Phone Number' '50 . / b <br /> Owner's Address /O J1 1J& A1 h �Q / Owner Phone Number <br /> -Fee Simple Titleholder Name L Owner Phone Number <br /> Fee Simple Titleholder Addrress <br /> ref <br /> JOB ADDRESS �7�/ 49 / I(J // ,U � T LOT# O <br /> SUBDIVISION / e,e 0" PARCEL 61,F010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION /= BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK l UAL C� / ./ ' % rou / <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> —1 1 11 1 1 1 1 1 ".-+—�"�'e--"■ ' ° <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> dq <br /> MECHANICAL COMPANY oemlen lid AI / ON/a -Zile, <br /> SIGNATURE .REGISTERED Y/ N FEE CURREN/► Y I N <br /> Address / s Q/ /�� ,G 346/O License# C Py 19 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> eemmeememmeeeeeeemaeemeeeemeeeee-eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <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(3)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,Stormwat_er 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 Ior all'NEW construction. <br /> 1. MIMIy■ ■fir m It e m e 9 m..e i..m.mom■ • m 8..m ■ • • ■ ■:■ • ■ ■ ■ • • ■ <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 (Front of Application,Only) <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 />