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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting p— <br /> Owner's Name ) if 1 1 IVe J Owner Phone Number 0 3 G1� S 3 <br /> Ownef's Address cj �Q'�" Owner Phone Number S�3 ��/ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address y� <br /> JOB ADDRESS 2 I O 21 S"���P�'� LOT# <br /> SUBDIVISION PARCEL ID# ! — — —d — 0q t%0 d'-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> ,PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0 <br /> u <br /> DESCRIPTION OF WORK m X IJ tJC rC� G!� p 2+ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 10 '4c,_11 <br /> (Ep UILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ i �✓� AMP SERVICE Q PROGRESS ENERGY Q 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 /> 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# <br /> :PLUMBER COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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.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 Attomey'(for the owner)would be someone with notarized letter from owrierauthorizing same <br /> OVER THE COUNTER PERMITTING (copy;of aonUact required) <br /> Reroofs if shingles Sewers $ervice..Upgrades;A/C .:,Fences(Plot/Survey/Footage) ;.. . <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />