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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> e <br /> Building Department <br /> r ✓ <br /> Date Received <br /> Phone Contact for Permitting- 3 �R <br /> `T"E�7"T IF-1 ir� I f 5 <br /> Owner's Name Owner Phone Number3 9=< <br /> o <br /> Owneea Address VL Q `�-Q c4_I� Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone-Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION Ft o-� c . a PARCEL ID# d <br /> - (OBTAINED FROM PROPERTY TAXNOT CE): <br /> WORK PROPOSED NEIN017NSIR ADD/ALT = SIGN 0 Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE _- SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOC :� FRAME STEEL .�].. <br /> DESCRIPTION OF WORK . �•2 \ �C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ "� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ [ v"-� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING., $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> BUILDER s COMPANY <br /> SIGNATURE REGISTERED Y N FEE 11LkMN J <br /> Address r License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREN LYIN <br /> Address License# . --I <br /> -1-9.l -R t.r A l.r.°f 1./ 1 f 1-1 i 11.1-1 r.IE .IF..I.I t.l.l,r .1.4. !! 1...1--i-{ /..1 <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 /> D1rectlons: <br /> Fill out application completely. <br /> Owner,&Contractor sign back of application,notarized <br /> If over$2600,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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />