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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 /> a I 19 9 9 a I i <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS MUCA—v"� c LOT# <br /> SUBDIVISION PARCEL ID#1 5' R5' _J), oiao- ccom- inc:�Sb <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW IONSTR ADD/ALT SIGN = DEMOLISH <br /> R INSTALL R REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER vt`11.� tl—ji <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK U 0. Anay\j7,;-- 0�- a 3.s-+m RIIC, 00 ,t7 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> iL IL k k k%x IL C x t AV-L-T-L k k x-L t WIL IL t:k C%S-L X X-r X k IL It t X IL-IL X:XAL k k-L V k X C k 4;X IL&-L k C C X%;X 1:k X q:4: <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ W- 7/74K�MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> ct I, J <br /> =GAS O ROOFING Q SPECIALTY = OTHER 17,10 <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO PP <br /> i 11 i IF F 9*ff f i 1 f E i I IF i F 9 f 6 If a <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN YIN <br /> Address License# <br /> ELECTRICIAN I COMPANY = <br /> SIGNATURE REGISTERED I Y/N . FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN LZIN J <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREN I Y1 <br /> Address 05 tk,:�J 1,2 S�L I O;k t 0101PO-I In License# I <br /> OTHER COMPANY [ <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y t N <br /> Address I License III I <br /> 11 <br /> 111 1 1 If it 1[2 1'1 1 it a 11 <br /> I 1.1 <br /> I a I I IIII&FAII1111114FIR lull 1111111111 14 If t�1,a I�1,I 1 1,1 1 1 a It I I ut I <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 subdivisionstlarge 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&I 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 />