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813-780 oozo City of Zephyrhills Permit.Application FaX-s1saso-ooz1:: <br /> Building Department <br /> Date Received _ /8 <br /> Phone Contact for Permitting ( ) <br /> WN <br /> Owner's Name G , ' 944� -/,4_. Owner Phone Number �f <br /> Owner's Address ,21j/ v1 J. % ` Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone.Number. <br /> Fee Simple Titleholder Address c / /n" / <br /> JOB ADDRESS 3� Q�J !� - /�/�� AL 9 LOT# <br /> SUBDIVISION `j 4 � � I PARCEL ID# - y�/ — J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> R <br /> INSTALL a REPAIR <br /> 0 0 �� <br /> PROPOSED USE. SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK ' <br /> 9, <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> BUILDING dL L iL IL IL dL $IL// VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> v1 . <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE % REGISTERED Y/N FEE CURREN <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 COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address Q I U �` rii License.# -�J <br /> ■;oIEl�Ii �IfIFI[ 'f�I<II1fIEIfofIEl[i'l� ;IlllfilE �IE1EIlI[II �IE �l.1FItIE # � iI[.I<1fIE��IEIEIE '�1tiEl �.tf.�1[IE ��.i� �.� . <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 />