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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 y�� - �2 <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 o, f <br /> JOB ADDRESS v [ I i� L LOT# <br /> SUBDIVISION PARCEL ID# 0 y'a&- aI- oalro - 0S(0oo —ocoa <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT " SIGN " " DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE " SFR " COMM " OTHER <br /> TYPE OF CONSTRUCTION " BLOCK " FRAME " STEEL <br /> S^" <br /> DESCRIPTION OF WORK IT-4505NI 60,4°"f 6 G/-Gr- <br /> BUILDING SIZE I SQ FOOTAGE= HEIGHT <br /> "BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ p� •��/ AMP SERVICE 6 U EEI- PROGRESS ENERGY Q 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 =YE$' NO-'• <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED. Y/.N FEE"cURREn.. <br /> Address License# , <br /> ti <br /> ELECTRICIAN yl ` COMPANY G(O �CG frr� C_ <br /> SIGNATURd �, REGISTERED Y/.N, :. ..: ;.FEE CURREN Y/N <br /> Address O PO 303 CCISsG �� F( Cicerise# i Od 5' 6 <br /> SO i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y%N <br /> Address License-# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y4 N',"' FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> �IGNATURE -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;Corstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life,Safety Page;(1)set of Energy Forms.R 0-W Permit for new,construction. <br /> Minimum ten(10)working.days after,submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence Insstalled,— <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.baek 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 Counter if on public roadways..needs ROW <br />