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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 / <br /> Date Received Phone Contact for Permitting /✓ / �6 1 p <br /> Owners Name �//1e Owner Phone Number <br /> Owners Address .�� �Ir ' ` dltil ��l�S Sf Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �j <br /> JOB ADDRESS .1 7U l�J l/�f✓v �[9. i L ,.`� y V ^LOOT# <br /> SUBDIVISION P `O O ilk, PARCEL ID# �0'd/ 'V 6-)d 'WD60 -0,?/O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME /+= STEEL Q 7 p <br /> DESCRIPTION OF WORK C��C(�4 (� G C-a g &y TEL Idw K dw <br /> BUILDING SIZE SQ FOOTAGE /&0 HEIGHT <br /> T Pf rF'i°P.'P.. . . 1•'.�r-r-r r vFTTII"ITI�"1"I"'T�6-1®PYTP1mF5-���FTPI��r9TF�iTT' <br /> UILDING $/`6�JD t. 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 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 4el <br /> N <br /> Address 33 rk L U�License# jj���� <br /> ELEC�TE+ni IAN �(JMPANY ./ �'� V„` Gi-d <br /> SIGNAL URE / REGISTERED Y/ N FEE CURREN Y/N ... <br /> Address s�V l GK� S 33 T License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I YIN <br /> N <br /> Address License# <br /> IIII1111111tIIIIIIIIIIIIIIIIIIII1l111t11111tII1I111I1111IlIIlI11IlI <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,Stonnwater 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,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 /> 4 ' 1-4k-1-1-d�-t-i-f-I-S-1--1-L-F•1-1 4mf-1-1-I--.-. . . .-Iml-b-L-�[-a-I-1-F-6-FmI--1-Fd-.t-1�1-i-#-L-F-1-1�1-1-r°l�-•1-4�-1-6 I- <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. WC 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 NC Fences(Plot/Survey/Footage) <br /> Driveways=tJot over Counter if on public roadways;.needs ROW " <br />