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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 4V <br /> Date Received Phone Contact for,Permitting <br /> Owner's Name Owner Phone;Number <br /> Ownees-Address o Zoe -'s Owner Phone-Number <br /> Fee Simple Titleholder Name . � Owner Phone Number <br /> Fee Simple Titleholder Address. <br /> JOB ADDRESS, S 3d ZO LOT#. .� <br /> SUBDIVISION � � PARCEL IDS' •�1�Z Z ^:� d I Is <br /> (OBTAINED FROA4 PROP.ERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR '"I ADD/ALT SIGN [�:.. [ DEMOLISH <br /> -,INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 Comm OTHER <br /> TYPE`OF CONSTRUCTION . BLOCK Q: FRAME STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDINGISIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�FLUMBING $ � � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS' ROOFING Q SPECIALTY OTHER <br /> FINISHEDiFLOOR ELEVATIONS FLOOD`ZONE AREA =YES, --NO <br /> BUILDER; ... -.... �� COftIIPANY. �QQt~ v <br /> SIGNATURE II REGISTERED Y t N-..: FEE CU. R�EN _ Y/N <br /> Address $9 ! K! Z^ ,�/ License-# I L1...�•a5$ 13� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE' REGISTERED ..: Y/ N=:: .. FEE CURREi • . Y/N: <br /> Address License#. <br /> PLUMBER r COMPANY <br /> SIGNATURE REGISTERED Y/ N '. FEE CU(RREEN. Y Y N ' <br /> Address: License# <br /> MECHANCCAl..::..'::. ., ...COMPANY , <br /> SIGNATURE;.;' - REGISTERED _ Y J'N FEE CURREN F`; <br /> Address. 177 <br /> License#`' <br /> SIGNATURE .REGISTERED' -' '-Y/'N..,:, FEECURREN:. <br /> ,Address, <br /> dress . .. <br /> _ <br /> License# <br /> RESIDEPITIAL Attaef r 2 'Plot:;Plans;'(2)sets`of`Building Plans;(1)'set ofsEneigy:Forms F;1.0-W Per"Itfor'new-.construction;, <br /> Minimum:'tart:{,9:Q}:woritirig days after subm#taifdate Required onsite;'ConsWction Pians;;Storrriwatgr Plans;w/Silt Fence.ihttailed,. <br /> Sanitary Facilities&.1'dumpster;Site Work Permit for subdivistons/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{1Q}:working days:after.submittatdate Required>onsite,Construction.Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities'&'1'dumpster`Site Wark Permit fo ;ap new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach-(2),sets,of Engineered-Plans. <br /> ***"'PROPEi2T1(S .-1 i"regdiired'fo"r`ali NEW constiuctldn. ` <br /> Diiections: <br /> Fill out application completely. <br /> Owner.=;&'Contractor sign:back of application,notarized <br /> 'if over$2500,a Motice of Comiitiencement"is`required: (AfC upgrades over$7500) ' <br /> " Agent•(forlthe-contractor•)•.orP.ower of Attorney(for the.owner)•would;be,someone with notarized-letter from owner authorizing same <br /> OVEWTHk_CReoofs if shingles TEft Sewers IN .;Sets ce llpgrad s ;�t equl red Fences;(P..Iot(SurveylFootage) <br /> Driveways-Not over Counter;ifon.public roadways::neecls POW r <br />