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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received O 3 <br /> Phone Contact for Permitting ) [ — <br /> .aaaaaaaa aaaaa <br /> Owner's Name 1`1 CA Owner Phone Number <br /> Owner's Address 2-pp (�� `o LL l,� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J 2 l� b b'k- LOT# /t CO <br /> SUBDIVISION PARCEL ID# V Z - • 0 0 1 W L)Q 2-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW INSTALL <br /> STR B REPAIR SIGN = = DEMOLISH <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCKp �Q/� FRAME <br /> = STEEL = <br /> DESCRIPTION OF WORK /� Q2/(�T�C 2 <br /> BUILDING SIZE I�/ l 2A SQ FOOTAGE ✓ -1 J HEIGHT t <br /> ''C'C_I" "�- C"t t"S"q-���"�[-i�C�['�"�C"['4-��";"�S-S-�i L <br /> BUILDING $ qQ O �G�/ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �^✓ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 1fj5 2 <br /> /Z_1& <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS <br /> SPECIALTY ' <br /> FINISHED FLOOR ELEVATIONS ROOFING FLOOD ZON ARE,q OTHER <br /> 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 Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER I� OMPANY r A It,rv�l,tiloop <br /> SIG URE REGISTERED Y/N FEE CURREN I Y/N q <br /> Address License# I S C C S S f <br /> aaasaaaaaasaasaaasafaaa7aaaaaaaaaaaaialasaaalaasat!afaaEiaialaaasIaal <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 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 />