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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ClDate Received ` Phone Contact for Permitting -I - 1�s EJ1 <br /> Ow ees Name l�l.V 1 �J I�-r-OwneF Phone Number <br /> Owner's Address V1 VV l C, 1 Owner Phone Number <br /> Fee Simple Titleholder Name Own Ir Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESSTh,01ETOLOT# <br /> SUBDIVISION + t �V PARCEL ID# U ' - 0110 —C)00 v r V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 1YM ` I <br /> BUILDING SIZE SQ FOOTAGE= IEIGHT <br /> i <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address // License# ,/ / L <br /> PLUMBER CO �- COMPANY 1 (A 10 n <br /> SIGNATURE `` REGISTERED Y/ N FEE CURREN Y/N <br /> Address I �. l� License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> 1_1 111 1 1_I.1_1.1. 1_II_I.1_! 1_1_! /_I I_t._L 1.1_t_1 1. 1__I t_1.11 1 1_I 1 1_I /_1 1_1. 1.1 11 k /_I.1 1__1 _I.1.1.1 1 1.1 1. 1 1 1.1 <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 Work Permit for all new projects.PII 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 /> . <br /> ections:' <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$75 10) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone wit 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 />