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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date RecelVed I Permitting <br /> Phone Contac't r.................. <br /> Owner's Name &SO, M Ziff-(\0 1 Owner Phone Number <br /> Owner's,Address r-3 92 2 2' baw o tj ad% V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER I <br /> TYPE OF CONSTRUCTION BLOCK = FRAME Q STEEL <br /> DESCRIPTION OF WORK ev encf' Pvc, CC i I S2 4) <br /> BUILDING SIZE F SQ FOOTAGE FITS �TT HEIGHT 4 LIP; <br /> =PUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> C) <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> A< <br /> =GAS 0 ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO: <br /> 1 ill llial sill Hill Hililiviii I H+k H+1 v 6 i i a v i i <br /> BUILDER COMPANY C' <br /> SIGNATURE REGISTERED Y/.N _FEE CURREN <br /> Address License# F!1-7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED _Y./ V FEE CURREN, L_11 N J <br /> Address License* <br /> PLUMBER <br /> COMPANY <br /> SIGNATURE <br /> REGISTERED Y/-W FEE CuRREi� <br /> . <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y-/ N - FEE CURREN <br /> Address License'#*F-- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N, FEE CURREN L_L/N <br /> Address License#- <br /> IN" I k'H 1 1 H 1 1 111 if 11 M!it H 2,!11's H!11 H 111 H 1 H 1 1 1 1 H 1 1!!1 H I I I I I I I I I I I I I I I I <br /> RESIDENTIAL Attach,(2)Plot Plans;(?)sets Of,Building Plans;(1)set of Energy ForTns;.R-;O-W Permit-for new construction, <br /> ,Minimum ten(1b)workirig days after'submittal date. Require&onsite,'Con6truction Plans,Siormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach'(1)-complete sets of Building Plansplus 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 /> .............. <br /> 'Directions: -------- ---- ------- <br /> Fill out application completely. - <br /> Owner&Contractor-sign,back of application,notarized <br /> If over$2600,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 Sbwers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DriVeways.-Not over Counter If on public roadways..needs ROW <br />