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813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 l 935 - 2191�� <br /> -1-1 rrl��z-I- - - - -rr-I 'Ta <br /> Owner's Name City of Zephyrhills Owner Phone Number 813-780^0000 <br /> Owner's Address 1 5335 Sth Street,Zephyrhills,FL 33542-4312 Owner Phone Number <br /> Fee Simple Titleholder Name �- Owner Phone Number -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6585 Simons Road,Zephyrhills,FL 33541 LOT# <br /> SUBDIVISION City of Xephyrhills�� PARCEL!D# 04-26-21-0000-39900-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM X OTHER I Temp.Construction Trailer <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL Q <br /> DESCRIPTION OF WORK Temp.Construction Trailer <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT G®�'"�j_ <br /> . .. . . .Tl . . .. . . . . . . . . r'T'rr <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA - =YES NO <br /> .. . .. F..-. . ...-. . .... .. (. .. .-..-r:}-�:-{�-. . . . ... . 1-,. tom... . . <br /> 31 <br /> BUILDER COMPANY �• •V�4"�T i t I ASa04-5j (Ne- <br /> SIGNATURE Q REGISTERED Y/ N FEE CURREN TT a <br /> Address G• VfGH U-ilD TPA FL License# Coc 4 5�b g-J fa <br /> M,N ELECTRICIAN COMPANY <br /> �J SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address II License# �� <br /> MECHANICAL 1 COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y I N <br /> Address I icense# F_ <br /> OTHER COMPANY = I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F_ <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fomns;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,Stomtwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> —PROPERTY SURVEY required for all NEW construction. <br /> t . . . . = = . . . a . . . . . . . . t . . . . . . . . . . . . . . . . . . . . . . / . . . 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. (AIC 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(PlottSUrvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />