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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> c• <br /> Building Department <br /> Date Received Phone Contact for Permitting" — n <br /> Owner's Name t l i u— Owner Phone Number <br /> Owner's Address �`'"t I LI "E? t'1 h�� �S ;3 ) �Owner Phone-Number <br /> Fee Simple Titleholder Nam® Owner Phone Number F I <br /> Fee Simple Titleholder Address ) 1 <br /> JOB ADDRESS Q' �-1 G/ c� �� C} LOT <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN [�;,. [ ] DEMOLISH <br /> i <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE'OF CONSTRUCTION E:a BLOCK 0.. FRAME 0 STEEL [� <br /> DESCRIPTION OF WORK <br /> BUILDINGiSIZE ] SO FOOTAGE HEIGHT <br /> OBUII:DING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> QPLUMBtNG <br /> MECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> •0 0 <br /> FINISHED"FLOOR ELEVATIONS FLOOD ZONE AREA [ YES- NO <br /> S <br /> BUILDER t COMPANY <br /> SIGNATURE REGISTERED LIL N• FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N>- FEE CURREN Ly/N <br /> Address License# <br /> i • <br /> PLUMBER r COMPANY <br /> SIGNATURE REGISTERED L Y/ N FEE CURREN <br /> Address' . Lie ense#'I <br /> /j <br /> MECHANI,CAL...:' '� y,r-- COMPANY /1,Q 0 (.J ev Q, <br /> SIGNATURE; REGISTERED Y/ N FEE CURREP'" Y/N" <br /> k <br /> .Address License* 7 :. <br /> OTHER':.'i .;,,... . COMPANY` <br /> SIGNATURE -REGISTERED " Y/'N._. FEE CURREN• <br /> ,,'Address, License# <br /> RESIDENTIAL Attagti(2)Plo't'Plans;(2)'sets of Building'Plans;'(1)?setofEnergy Forms;R=.O=W Permitfor new construction, " <br /> Minimum ten:(1.0)working'dayiafker,submittal?date_.,Required ansite;Construction Plans,Stormwater-Plans.w/Silt Fence installed," <br /> Sanitary Facilities&1 dumpster;Site Work Permit The subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> -Minimum-ten(10)-worktng.,days after.submittal,date Required'onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities'6'1 dumpster.Site Work Permit for-'ail new projects.All commercial-requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. - <br /> - ****PROPERTY St1RVEY requlred`for;ati NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner-4,Contractor sign back of application,notarized <br /> If over$2500,a Notice-of Cbnirnencement 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(g,: . .Fences(P•IOttSurvey/Footage) ? <br /> Driveways-Not over Counter if on public"roadways..needs"ROW iI <br /> 4✓Zip <br />