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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department J <br /> Date Received Phone Contact for Permitting ??7 <br /> v�l <br /> n /,//�� ( SIT- I cr <br /> Owner's Name v t ez eS r3 Owner Phone Number " c�O <br /> Owner's Address IJ .ZT y J T Owner Phone Number <br /> Fee Simple Titleholder Name L Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F73 9w o t LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK0 FRAME 0,p/ _STEEL = <br /> DESCRIPTION OF WORK 5e C/`pp <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# I y� J , <br /> PLUMBER COMPANY C �'S / Z PG. wl (' <br /> SIGNATURE n 1/ REGISTERED Y/ N FEE CURREN Y/N([ <br /> Address &Z(( B�ioO �/�161 /�i(, ,Z License# ��— �Y,),6 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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. (AIC 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 CoUhter.if:on.public roadways::needs ROW <br />