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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received / --( Phone Contact for PermittinglNumber <br /> Owner's Name l_Ioor 1 /7 rn�V l 76�✓7'1 I+Yl Owner3' 3l^00•3D <br /> Owner's Address 3 7 l(J 7 C��J �+z ✓7(• Owner Fee Simple Titleholder Name Owner <br /> Fee Simple Titleholder Address +p� <br /> JOB ADDRESS 1 ',.LQY I Z LOT <br /> SUBDIVISION 7 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q� 1 BLOCK FRAME STEEL <br /> J = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> YITrI`TP94r�f�r"1TPI�PTr�IT�1TI�fTIR`PITI"PT•1"'1"I'YT9"�FTrrTIT�rrfTTRYF'iT <br /> =BUILDING $ f=/'/1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 V 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 FLOOD ZONE AREA =YES NO <br /> BUILDER / COMPANY l{a rule oto ne r <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllll <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 subdivisionsAarge 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 /> Directi.n-11--i-1-1--i-1-f-1-1-t-b-1-1-4.1-4.4-L-N-N-1-l-i•1-1--1-�1�F-1-{-6-i-1-1-I�-1-f-t-1--1�-F-i-F-i-!-N-1--1�1-4.6-6-F-a- <br /> Directfons: <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 Allomey(for the owner)would be someone with notarized letter from owrfer'authorizing same' ' .- -- <br /> OVER THE COUNTER'PERMITTING '(copy of contract required) 5 i <br /> Reroofs if shingles Sewers Service.Upgrades A/C Fences(Plot/Survey/Footage) { <br /> Driveways-Not over Counter if onpublto roadways.needs ROW <br />