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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 1 Date Received . 2, ( - 2020 phone Contact for Permitting <br /> Owner's Name f "��'I���Q. S�QrL C"L Owner Phone Number <br /> Owner's Address Ste? (� f<- /+ �.(' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone.Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Q U✓l. 5 Ll LOT# <br /> SUBDIVISION PARCEL ID# 2-1 -2, - Z 0C-on L© <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME . = STEEL' _ <br /> DESCRIPTION OF WORK: �✓�T U 'l f�. . :\ fir - V✓L ` W C1�-'CV i i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ O2 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ / <br /> =MECHANICAL $ F� VALUATION OF MECHANICAL INSTALLATION j <br /> =GAS = ROOFING Q SPECIALTY L� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED, Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ``REGISTERED N J FEE CURREN Y/N <br /> Address 9 0 o l l l/ License# -EG0oo LLa� <br /> PLUMBER 14-6 COMPANY' <br /> SIGNATURE REGISTERED N FEE CURREN Y/N J. <br /> Address e.v l a License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED, Y/ N I FEE CURREN Y/N <br /> Address License#, <br /> 1111111111 ! l1111, 11110 1111111' 1. 111111 ,1 •l,III1:l1. 11111111111.11 .I1111111111, <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-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 onssite,Construction Plans,Stormwater 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 /> ■ ■ ■ ■ ■ ■ ■ e ■ ■ ■ ■ ■ ■ s ■ ■ ■ ■ ■ ■ <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />