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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received �— 7i/ Phone Contact for Permitting 2777 —�4t� <br /> -1,3-f 't - <br /> Owner's Name Owner Phone Number <br /> Owner's Address ber x64 v; Owner Phone Number <br /> Fee Simple Titleholder Name �Ow er Ph Number <br /> F` <br /> i. <br /> Fee Simple Titleholder Address <br /> ► <br /> JOB ADDRESS /� l �// !v '7' LOT# <br /> SUBDIVISION PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ':WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> F INSTALL REPAIR <br /> ,jyPROPOSED USE Q SFR Q COMM Q OTHER <br /> k_,TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE .V HEIGHT <br /> 4s <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> - <br /> "- ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> f <br /> =PLUMBING $ <br /> tzvaf <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P <br /> 0 <br /> GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - <br /> BUILDER COMPANY dXd J V6 ff l i� /7 <br /> SIGNATURE REGISTERED Y/ FEE CURREN Y/N ^ <br /> Address EZ7 / / 3?.5933 License# ga <br /> ELECTRICIAN COMPANY <br /> SIGNATURE• REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER ; COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i License# <br /> OTHER ! COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> Illlllllllltllllllllllllllllllllllltlllllllllllllllllllllllllllllll <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 /> . . . . . . . . . . . . . . . . . . . . . . <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 Aftomey(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 />