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813-780-0020 <br /> City of Zephyrhills Permit Application Fax-813-,780-0021. <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting € ( <br /> Owner's Name " e ' ` Owner Phone Number <br /> Owner's Address 2�7 �1 L� Owner Phone Number <br /> 17 <br /> 7 <br /> Fee Simple Titleholder Name Owner Phone Number - <br /> Fee Simple Titleholder Address /, ��j� 2 !,, <br /> JOB ADDRESS 101/6 <br /> . . Q G' �i �/�1 o f-Z- 35 LOT#.' <br /> SUBDIVISION PARCEL ID# �������(--� ���(Jt�r��'l/✓7D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN DEMOLISH <br /> _ .INSTALL e REPAIR <br /> PROPOSED USE SFR 0 COMM ®— OTHERI jj <br /> TYPE OF CONSTRUCTION n.BLOCK 0 FRAME = STEEL 0C <br /> DESCRIPTION OF WORK S l� �/ /C fil �- =�7 ✓ ✓ T� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ �/ /,Q �/� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (� (,( �) v AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE: <br /> 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 FEE CURREN Y/N <br /> Address n' License# <br /> OTHERor COMPANY �'/ Wv� �J�C/�.e�` <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N L <br /> Address /� �� ,G �� 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 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 />