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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> aaaaaaaa p`Owner's Name ��11�[I---3 4 �,$/ T ) Owner Phone Ni <br /> Omber <br /> Owner's Address I pTL //lqr[ AT 7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address a <br /> JOB ADDRESS (6 J (/v j0/J �( x �/- n/ LOT# <br /> SUBDIVISION J /� O/ PARCEL ID# 0SV61 0 —6100�'Q1r�O0— Q <br /> (OBTAINED FROM PROPERTY T�NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN <br /> � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCKQ rF�RAME �� STEEL Q <br /> DESCRIPTION OF WORK �-FA ( la"Ide 161 64TO" a Nb4-PA.15 IaWif 'Strtte¢,4rza <br /> BUILDING SIZE r r SO FOOTAGE® HEIGHT <br /> LDING $ P VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ l� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 4 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER o jam— • COMPANY aT 5P•,P x6 <br /> SIGNATURE (� CV7 REGISTERED Y/N FEE CURREN <br /> Address d (I CfAgA .( License# R(..E,l�J <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N I FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> ■a a a=a.a is a a i 1 a a a a a a 11 a a a a l a I a a a 111 <br /> a a a-a a i a a 1 a 111 <br /> a a a 1[.1 <br /> a a a a a aa a a.a a a_sit 11911111 <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 subdivisionsflarge 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,Stornwater 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(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTNG (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 />