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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a0 (� a a <br /> rr' (+ ,`Phone Contact for Permitting �J 3 SQ — V 7 <br /> Owners Name bA�J/ 'rT G Q 0 Lb DJ Owner Phone Number <br /> Owner's Address S U[L(2 1 2714 SI Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (7 <br /> T- Z E PH Y R H/T L LJ LOT# <br /> SUBDIVISION PARCEL10# 11-2U/-21- 0O10- O8y00- 0130 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK N PN QTQ VO=_rC Q p�®A N F-,�l•,{ <br /> BUILDING SIZE I = SQ FOOTAGE= HEIGHT <br /> BUILDING $ I q-Z VALUATION OF TOTAL CONSTRUCTION <br /> 13 <br /> ELECTRICAL $ f{D AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �^ q <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER 111 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> r w <br /> BUILDER OMPANY J u <br /> SIGNATURE !/R"�EGISTERED / N FEE CURREK /N <br /> Address N. E.. License# <br /> ELECTRICIAN �J GMPANY I _ UVEMIR <br /> SIGNATURE REGISTERED / N FEE CURREA /N <br /> Address <br /> License# 1 0 7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK I Y/N <br /> Address License# <br /> Illtllllltlllllillltllllllllllllllllllllllllillllllllllllllllllllll <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 Ufa Safety Page;(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,Stor mwater 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 /> Drrec6ons: <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 public roadways..needs ROW <br />