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Sla-780-0020 City of Zephyrhills Permit Application Fax=813-780-0021 <br /> ' t Building Department <br /> Date Received <br /> Z Phone Contact for Permitting _ <br /> Owner's Name, Owner Phone Number <br /> Ownars Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Foe Simple Titleholder Adyydrr�ess l.l1 JOB ADDRESS ® LOT# <br /> SUBDIVISION TL.�So PARCEL ID# ZM _O 0 <br /> �- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCONSTR. ADD/ALT = SIGN Q = DEMOLISH <br /> e (NSTALL 8 REPAIR <br /> PROPOSED USE ' SFR = COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL Q <br /> DESCRIPTION OF WORK FL I G •S <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> [:;�KUILDING $ /_l5J 71 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE Q PROGRESS.ENERGY Q W.R.E;41 --11 <br /> ✓ <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS' = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS —� FLOOD ZONE AREA =YES NO <br /> ga <br /> �Fr4-i-iwF-i-i-i-1•�i- 1-i-+-F- <br /> .sv <br /> BUILDER COMPANY Lima <br /> SIGNATURE REGISTERED Y/ N FEE CURREN rJ4441,41CU" 41 <br /> Y/N <br /> Address To titsiV75199 7-S 0 1 ikNa r, OL License# Ift: 7 <br /> -- '3z.'7 S <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREIt <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE �— REGISTERED YIN FEE CURREN Y/'N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREh Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE l REGISTERED YIN FEECURREh Y/N <br /> Address License# �— <br /> III11111111111111111111111111' IIIllllilllllllllllllillllllllllllllll <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 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 Wcrk-Pemmjt for all I sari projeots.Ad)commercial requirements must meei compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '-PROPERTY SURVEY required for all NEW construction. <br /> DlfeCtierlS:■ <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 Attciney(for.the.Owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences.(Plot/Sulvey/F.00tage) <br /> Driveways-Not over Counter if on public roadweys_needs ROW <br /> II <br /> �I <br />