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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 A — J <br /> Owner's Name 7VI T <br /> ] I e hone Number <br /> Owner's Address �^ !"V 1 a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5` 2 1( 5 f 1 3 3sy2 LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK 13 lac G( ,% AA m IIA IAM `v <br /> BUILDING SIZE SQ FOOTAGE 11. 1 HEIGHT <br /> UILDING $ 2 775 g VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLAyi N <br /> =GAS = ROOFING = SPECIALTY = OTHER ® ' rl_ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES !©�� �i "�"7�' <br /> ®Z� <br /> BUILDER �/T ,/� COMPANY &Mrnn 35i nG Lc <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y <br /> Address `r License# <br /> ELECTRICIAN COMPANY <br /> SIGNATUR9 REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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,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,Stormwater 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 /> 14 <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 Attomey,(fort e 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 owpublic roadways..needs ROW. <br />