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\ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received l S 3� <br /> Phone Contact for Permitting //__ pao� "�Q'7 <br /> t [ Z u h� one Number 1 l�3� -p <br /> Owner's Name Owner Ph <br /> lawner's Address d-M7 6;24,,`l; Owner Phone Number <br /> J#64AS (�- 41r k(900 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Adddrress/ <br /> JOB ADDRESS O J /(/ 2Ar AS 3 S��_ LOT# <br /> SUBDIVISION i C PARCEL ID# o5 `- G`•� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK .1—pil d /�r�. ! l sd �k[Ct;jIe <br /> BUILDING SIZE SQ FOOTAGE ��O ( HEIGHT <br /> TITTTITrITITrP�I"ITTI'-r-r-r ITI"1"rITIT�ITI"ITTtTrTI"'1"7�1"9�1"ITITIT�ITPTr <br /> •=BUILDING �0/C)o 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 Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> X BUILDER " COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> 3 ' <br /> Address � � � a yy �✓ � I S License# <br /> ELECTRICIAN }I :�J OcoMPANY <br /> SIGNATURE !� REGISTERED Y/ N FEE CURREN Y/N <br /> Address 3d 3 �4 i� a !V 2 W(1 License# <br /> PLUMBER - /� ^� ngl; <br /> S10 PM ANY��J_ <br /> SIGNATURE REGISTERED Y/aN' FEE CURREt-- Y/N <br /> Address 3935- 4 2 `f(:� License# <br /> X MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i I r_ <br /> Address k II e Q l lam.-, 61 L I �� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111 <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,Stonmwater 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. (AIC 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 />