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813- 780-0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Qf / lit 11 1 1 Dab Received � Phone Contact for Permittirl • EU Fill_ J ..IN Owner's NameIIIM MSIBA111 \`3BI1 Owner Phone Number h . Owner's Address 1 1 L.) 1 Pagi (* 1 Owner Phone Number I Fee Simple Titleholder Name I I Owner Phone Number 1 1 Fee Simple Titleholder Address I 1 JOB ADDRESS h22) Leit and C (` 1 LOT* I h -- SUBDIVISION ��( I �t't 1 PARCELID*I 3 22-'1 — th- ^ ito2 o I " 7^ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT Et SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR r i COMM Q OTHER 1 I TYPE OF CONSTRUCTION Q BLOCK n� FRAME Q STEEL Q OTHER 1 I DESCRIPTION OF WORK QOptelit n ilicr ttt z. 10K I BUILDING SIZE 1 "T SQ FOOTAGE I 1 HEIGHT I I n BUILDING I$ + 1' ."1 , p° VALUATION OF TOTAL CONSTRUCTION n ELECTRICAL $ IQ. I AMP SERVICE n PROGRESS ENERGY Q W.R.E.C. n PLUMBING 1 I n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I GAS Q ROOFING n SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOG A DNE AREA =YES NO BUILDER � , ,1 A_ COMPANY it ' s ' V SIGNATURE REGISTERED REGISTERED ® FEE CURRENT Y / N Address I 1 license. I 1 ELECTRICIAN COMPANY 1 I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I I 1 License* PLUMBER COMPANY I I SIGNATURE 1 Y / N REGISTERED I FEE CURRENT I Y/ N I Address ( 1 License* I 1 MECHANICAL COMPANY I I SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address I 1 License. 1 1 OTHER COMPANY I I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License* • I RESIDENTIAL Attadt (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) worldng days after submittal date. Required onsite. Construction Plans, Stonnwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large project COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Pernik for new construction. Minimum ten (10) working days after submittal dale. Required onsite, Construction Plans, Stomlwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 durnpster. Site Work Permit for all new project. Ail commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized H over 12500, a Notice of Commencement Is required. (A/C upgrades over 15000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW