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813-780-0020 City of Zephyrhills Permit Application Fax-813-760•0021 <br /> Building Department � c��7 <br /> Date Received Phone Contact for Permitting !{2-1 I r-1 - 5-7 1 <br /> Owners Name �� Li C� Y11� Owner Phona.Number <br /> Owner's Address f /� Owner Phone Number <br /> Fee Simple Titleholder Name �/ / A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# I Z ( �' 1— G <br /> (OBTAINED FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR Q COMM = OTHER —r— <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME = STEEL Q I Ct <br /> DESCRIPTION OF WORK <br /> c-r-------------- <br /> BUILDING SIZE SO FOOTAGE= HEIGHT ,a <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ 7 VALUATION OF MECHANICAL INSTALLATION <br /> �U.0.� <br /> =GAS = ROOFING. Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LI±N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L1/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address (License# } <br /> MECHANICAL / COMPANYtGV 1Ct1 Vl ' Ui e� <br /> SIGNATURE r 11 �pp REGISTERED Y/ N FEE CURREn Y/N <br /> Address 1 �� 71 b`e 3' License# G 9, V <br /> OTHER COMPANY <br /> SIGNATURE l REGISTERED I Y/ N FEE CURRU Y/N <br /> Address License# <br /> 11.ttlltlllllltlllllllllllltlltlllllllll•IIIIIIIIIIIIIilltlllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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)working days after submittal date. Required onsite,Construction Plans,Storrmwaler 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 /> 1 r••. . 1 . ii.d• 1 {..r • . rrLiLii�i • lie •. <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 /> r/ Agent(for the contractor)or Power of Attomey(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) ��. ( -'T�C�..7,1\{ a' <br /> Drivoways-Not over Counter if on public roadways-needs ROW <br />