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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received. �.�•���'�/ Ptione Contact for Perrnittin, <br /> "i' <br /> Owner's Name: d .ail :Owner Phone Number <br /> Owner's Address 'NCI s�,;O wnr.Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 'F JOB ADDRESS. tt< ^2 4::` _ LOT•#• <br /> SUBDIVISION l,C PARCEL ID# 261 <br /> j - "•..:: (osTAINED FROM PROPERTY TAX NOTIC% <br /> WORK PROPOSED NBN07NSiR ADD/ALT SIGN �] Q DEMOLISH <br /> e INSTALL 'REPAIR ' <br /> ," <br /> ptd <br /> PROPOSED'USE Q SFR �:, Comm OTHER;' <br /> TYPE OF CONSTRUCTION �i BLOCK. �,. FRAME Q , ,STEEL 0... <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE �© HEIGHT <br /> Q BUILDING $ " 'VALUATION OF TOTAL CONSTRUCTION ` '"•'' ; <br /> QELECTRICAL $ AMP SERVICE "' I_ . ,PROGRESS ENERGY 0 W.R:E.C. <br /> QPLUMBING - <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GASH ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> 0:. <br /> BUILDER COMPANY . <br /> SIGNATURE REGISTERED Y FEE C EA „ , Y <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> 7iSIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address •._ License#' <br /> PLUMBER;. .. COMPANY' - <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address. License#. <br /> MECHANICAL COMPANY <br /> SIGNATURE, REGISTERED Y/�N FEE;CURREN,: Y/N <br /> Address License I,. <br /> OTHER COMPANY - <br /> -SIGNATURE REGISTERED Y`1 N FEE CURREN. . .. <br /> Address License.# <br /> 1.•il 1 t.t' 1 E / 1:t. f 1 1.1.Ir 1J 1. 1 / 1j.. f 1..f I f.:1,1 II_lI:t.'t..i 1. 1_111`- '1:.1 1 1 1 1 11-1.F..] f 1 t.t. 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy.Forrns•'R-O-W Permit for new construction, ' <br /> Minimum ten(10)working days after submittal date.-Required onsite,Construction Plans,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster-Site-Work-Permit-for_subdivisions/)ame projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Form§.W-d-W-Pemiif'for nev'irconstruction. - <br /> Minimum ten.(10)working days after submittal date.'Reclujro,onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary,Facilities&1 dumpster.Site Work Permit for all ne% '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 /> 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 /> AZ� <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 />