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613-780-0020 City of Zephyrhills Permit Application Fax sza-7saoa21 <br /> Building Department <br /> Date Received :1 Phone Contact for Permitting <br /> t . <br /> Owner's Nam e/a Owner:Phone:Number; <br /> Owner's Address Owner Phone Number. <br /> Fee Simple Titleholder Name Owner Phone'Number <br /> Fee Simple Titleholder Address <br /> JAB ADDRESS LOT III <br /> SUBDIVISION 1 PARCEL.ID# .. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED . NEW-CONSTR: .. ADDIALT �.. SIGN .- 0 0 DEMOLISH <br /> e- INSTALL 8 REPAIR <br /> PROPOSED USE 0' 'SFR' C] COMM" [� OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION'OF WOR , ho 0 o t e— . o I + _ L L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT'" <br /> OBUIt.DING $ _ VALUATION OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ AMP SERVICE PRO LESS Ery <br /> W.R.E.C. <br /> ' <br /> =PLUMBING' $' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTAL'LATI N <br /> =GAS Q ROOFING [�,-- SPBGIALTY,,,=: OTHER . <br /> FINISHED FLOOR-ELEVATIONS '` FL'OOD2-ONE*AREA- =YE8'::- NO.=4 f~ <br /> WV <br /> -BUILDER COMPANY <br /> Y,/..N• F ;FEI'iCUR :sr,Yi/, <br /> SIGNATURE REGISTERED:-. <br /> E�;.+j.. ._ <br /> License#,: � <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATUM REGISTEREP Y/.N'_ , <br /> Address l lcerise#'� <br /> RLUMBER COMPANY _ <br /> :SIGNATURE REGISTERED Y%"N'°'"'`,`'.'FEE CURREN Y'/N-_. <br /> :.. <br /> Address '`!icense#` . <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y•t N='F' FEE'CURREA Y./.N:: '•. <br /> Address License# . <br /> OTHER. .COMPANY <br /> SIGNATURE zAgGISTERED. Y/;N,••::: FEE CURREh L Y/N <br /> Address .. License:#,;( �. <br /> - y a - <br /> RESIDENTIAL Attach-,(2);Plot:Plans;_(2)_sets.of,Building Plans;,(1);set.ofEnergy Forms;R O:W,P.,ormit for new construction, <br /> Minimum ten(10)woiklrig daks`after'submittal date:'Required'ansite;Gons6ile8ori Mans;Stormwater Plans w1 Silt Fence.instailed; <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)-complete sets of Building Plans plus a LIWSAfetyPage;.(1)set of Energy Forms.R O-W Permit for new construction.. <br /> Minimum ten(10):working days:aftersubmittal.date::Required ansite,Construction Plans;Stormwater Plans.w/Silt Fenceinstalled, <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'Engineared,°Plans: <br /> ""PROPERTYsSURVEYrequired-for All,NEW construction. <br /> :.Directions: ' <br /> Fill out application completely. <br /> Owner'&Contractor sign bac k-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- (copyof contract-required) <br /> Reroofs if shingles Sewers Service Upgrides A/C FencesIPlot/Survey/Footage) <br /> Driveway"ot over Counter If on public roadways,..needs ROW <br />