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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received rrrrrrrm Phone Contact for Permitting <br /> Owner's Name Rl/(� �` Owner Phone Number <br /> Owner's Address J 9 7 ! S f0L►79 V�_ Z-C/_H QfirLL—( Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '7q5 TN A L)6 LEPN l?yigu 33 S It LOT# <br /> SUBDIVISION PARCEL ID# e?� --Z l^ d 21 ?Ub r Ol 7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION _5�D BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �Gp F lznlAccr+��N�l' 9 �A <br /> BUILDING SIZE .Z 7 b 0 SO FOOTAGE HEIGHT <br /> IF BUILDING $ &)t <br /> so VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> AL $ Ov ALUATION OF MECHANICAL INSTALLATION <br /> =GAS .= ROOFING [� SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY V 0� 0� <br /> SIGNATURE Y 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 CURREI% Y/N <br /> Address I License# <br /> MECHANICAL �_ /� COMPANY CV rEn uc <br /> SIGNATURE REGISTERED / N FEE CURREN LILN <br /> Address License# F <<c r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI` 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 owner authorizing same <br /> OVER THE COUNTER PERMITTING (copyof 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 />