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813-780=0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name G�(AyJCA(LG A-'21 rJ Owner.Phone Number, YS'� <br /> Owner's Address e- i Owner Phone Numtier. <br /> Fee Simple'Titleholder Name Owner Phone Number . <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�f�j l�7 ` LOT# ' <br /> SUBDIVISION PARCELJD,# <br /> (OBTAINED.FROM PROPERTYiAX. TILE) <br /> WORK PROPOSED ® NEW CONSTR= ADD/ALT = SIGN 0. = DEMOLISH <br /> "WSAk REPAIR <br /> PROPOSED USE = SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME 'Q" STEEL Q <br /> DESCRIPTION.OF.WORK <br /> BUILDING•SIZE F7 SQ FOOTAGE HEIGHT' <br /> =BUILDING_ $ ro© 'VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE. 0. PROGRESS.ENERGY <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION %. 2 <br /> =GAS = ROOFING 0:; SPECIALTY•,= ; ,OTHER r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA -=YES NOV 1 <br /> BUILDER COMPANY ' <br /> SIGNATURE ink t, REGISTERED YY:N FEE CURREh Y/-N :. <br /> Address ` License k <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ".REGISTERED:, Y-/:N- FEE Q,URREN. <br /> Address License#1 . <br /> PLUMBER COMPANY <br /> .SIGNATURE' REGISTERED Y L;,N.. , FEE,CURREh: <br /> Address License# <br /> MECHANICAL COMPANY,.. <br /> SIGNATURE REGISTERED Y/-N FEE CURRE�` L Y T N <br /> Address License#.` " ' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/-N' 'FEE CURREV "'Y,/iN"'" <br /> Address License <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)•sets of Building0lans;(1:).set of Energy-Forms;R=Q W Permit for new,construotion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence,insta11,d;`_ . <br /> Sanitary Facilities&1 dumpster;Site Work Permit,forsubdiyisions/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: RequfrecJ'onsite,Construction Plans,'Stormwater Plans'w/Slit,Fence.installe'd; <br /> Sanitary Facilities&'1'dumpster.,Site,Work•Permit for all•new-projects.All commercial,requirements must meet:compliance <br /> SIGN PERMIT Attach(2)zets 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 Sealers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />