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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Q j <br /> Date Received L a �V Phone Contact for Permitting 1� v� — 57-6 <br /> _ <br /> -1-rri-1 f-r /� <br /> Owner's Name Q —H OC/�S Owner Phone Number <br /> Owner's Address LO 00 W 11. ! Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address `^5^ 1 <br /> JOB ADDRESS �15 �(/ i ) \ 1 1 ,n <br /> I LOT# <br /> SUBDIVISION [bv I Di <br /> e PARCEL ID# `'I' I_Q t 10 — C I l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT " SIGN " " DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE " SFR 0 COMM " OTHER <br /> TYPE OF CONSTRUCTION " BLOCK Q FRAME " STEEL " <br /> DESCRIPTION OF WORK 1 (Ong5ioI <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> "BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE " PROGRESS ENERGY " W.R.E.C. <br /> PLUMBING N 1� �J 0,\ - <br /> =MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS " ROOFING 0 SPECIALTY " OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE 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 Vl�l <br /> SIGNATURE REGISTERED Y/ N FEE CUR/REN Y/N a <br /> Address < License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stomtwater 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 /> . . <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 />