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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department `µ <br /> eSSI <br /> Date Received - Phone Contact forPermitting. l $ + <br /> 1 <br /> Owner's Name <br /> Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder'Name owner Phone Number <br /> Fee Simpl®Titleholder Address , <br /> JOB ADDRESS ''leG ,� ;3 S LOT# <br /> SUBDIVISION' : PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW coNSTR. ADD/ALT: Q SIGN Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR [; Comm Q� OTHER, .� <br /> TYPE OF CONSTRUCTION ' ` BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK � - oC & "-e- 'qxk <br /> BUILDING SIZE 'SQ FOOTAGE� HEIGHT <br /> �BUILDING $ 7,L7. VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $;. . • AMP SERVICE Q PROGRESS ENERGY Q' :VI►:R.E:C.,: <br /> QPLUMBING J� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION.: <br /> =GAS ROOFING SPECIALTY`= OTHER <br /> FINISHED;FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/.N- FEE CURREN <br /> Add r®ss• License#' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N-7 FEE CURREN Lij N <br /> Address "License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y:/ N J FEE CURREN <br /> Address . License# <br /> 4 ,- <br /> MECHANICAL COMPANY <br /> SIGNATURE„,• REGISTERED I Y VN FEE CURREN Y/N <br /> Addre'sa License# <br /> OTHER COMPANY t t` d,\C f? t r <br /> SIGNATURE , REGISTERED N EECURREN L Y./.N. .. <br /> C) <br /> �1_tt'1j� 1 rY^ t� <br /> Address Ll �j 33 j License# Cly— ,J � <br /> RESiDEMTiAI: Attach.(2)Pl'o'fPlans;(2)-sets of'Building'Pian`s;(1)set of-Energy Forms;R=0-W Permit fb(new:construction;. , <br /> Minimum ten(10),working days;after submittal;date.;-Required onsite,'Construction Plans,Stormwater Plans w/Silt_Fence installed, <br /> Sanitary Faoliic es&1 dumpster,Site Work Permit for sulldivisionsllarge 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,Stormwater Plans w/Silt Fence installed, <br /> SanitaryFacllliies:&1 dantpstsr.Site Work'Permlt.for all new projects.Ali commercial-requirements must meet compliance <br /> SIGN PERMIT Attach-(2)sets of Engineered Plans. <br /> - ****PROPERTY 8URVEY,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.; (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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publict,roadways.:needs ROW <br />