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813-780-0020 i <br /> City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ ;—/ <br /> � n <br /> Phone Contact for Permitting ( _ ) (�l 6 n <br /> ,/ ,i <br /> Owner's Name K/ �7?/' `` //� /3_ <br /> � � �� Owner Phone Number <br /> SOwner's Address L�k%1 � % C Owner Phone Number <br /> Fee Simple Titleholder Name 1111A Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS LOT <br /> r <br /> SUBDIVISION )0 <br /> 56W PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR H <br /> ADD/ALT 0 SIGN �] 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE: SFR Q COMM �� OTHER jj <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME /J� STEEL <br /> DESCRIPTION OF WORK /!"/• L/ /`N�v ���� �L/ /i'�7 � i/Y(� <br /> BUILDING SIZE 1 o ix& SQ FOOTAGE 4 O�J HEIGHT <br /> BUILDING r//q VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ Q® AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> 6 <br /> =PLUMBING $ 6— <br /> 7r�� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO/r <br /> BUILDER i COMPANY 6 <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <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 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address n License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> iiiiiiiiiil.iiiiiilt ilitiliiiiii iiiti €ilflEttfEl[t.l<tt#� 1�161t1[1f� 1 .1f1� lf �il«7 <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 /> 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 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 />