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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> ;i-.Date Received Phone Contact for Peg <br /> —r-1171—r-1117111 I rmittini5 § 44 , 85-11 staff . . . I.. . . . . . <br /> Owner's Name f-A 0 1' !kw/ Owner Phone Number ;Z <br /> Owner's Address 6 2 5+ Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L 6A tAW OnTA4 t5 4 LOT# <br /> SUBDIVISION PARCEL ID# 049 59 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> rf INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM L OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Scrup ent-tovre- w4h aviba a; 2�'Wm471'-,d PAnO I V'4�t -f- <br /> BUILDING SIZE SQ FOOTAGE F2To HEIGHT <br /> . . . . . ... . . . ............ <br /> I 'YWILDING I' V3 VALUATION OF TOTAL CONSTRUCTION <br /> T <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ /^(//( <br /> =MECHANICAL 1$^ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License*F_ <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License#F- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms*,R-O-W Permit for now 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 subdIvIslonsnarge projects <br /> COMMERCIAL Attach(3)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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement Is required. (A/C upgrades over$7600) <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 (Front of Application Only) <br /> Retools if Shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />