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813-780-0020 City of Zephyrhills Permit Application Fax -813 - 780 -0021 <br /> Building Department 93 <br /> Date Received � � 0 - % 0 7 <br /> Phone Contact for Permitting <br /> Owners Name R Owner Phone Number / 3 -z yV i <br /> Owners Address Kam? Q 4, a1 Ply Owner Phone Number I <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple 'titleholder Address I <br /> JOB ADDRESS I G L.Zo 69LL RV D lPI(�/PJ# /L L. S I LOT* <br /> SUBDIVISION I I PARCEL (WI <br /> (OMTAME° FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED <br /> ✓ NINSTALL COEW N5TR IR REPA ADD /AL R <br /> I T SIGN Q n DEMOLISH <br /> � <br /> PROPOSED USE E SFR I I � I COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION r 1 BLOCK 1 FRAME 1 STEEL Q 1 I <br /> DESCRIPTION OF WORK I..ENS inLL P1126" S u ?, S.S4 cal SySTL-F m <br /> BUILDING SQE I ISO FOOTAGE I HEIGHT I <br /> nBUILDING IS VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL IS AMP SERVICE ( ( PROGRESS ENERGY r W.R.E.C. <br /> PLUMBING <br /> IS 5.9.6 4Z.C.C)C) . "I. <br /> nMECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> 1 'GAS n ROOFING [] SPECIALTY I ( OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES NO <br /> 1 1 1 1 1 1 1 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> BUILDER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N I FEE ctae Y/ N I <br /> Address I <br /> 1 License* I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE <br /> REGISTERED 1 Y 1 N 1 FEE cualEn 1 Y / N <br /> Address I 1 License* <br /> PLUMBER COMPANY I <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE cuaafn I Y/ N <br /> Address I <br /> 1 License* I <br /> MECHANICAL COMPANY I <br /> SIGNATURE <br /> REGISTERED i Y/ N ( FEE CtAatEA 1 Y/ N I <br /> Address I <br /> 1 License * I <br /> OTHER o" : COMPANY I c5 i 77 firze <br /> SIGNATURE , REGISTERED I 09 N I FEE kip <br /> F N <br /> Address I License it I Se z 1 5 ?ZOO fi <br /> 11Th1111111111h1h 1111111111111111111 hhrhhllllllllllilllllllllllllll <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) waking days after submittal date. Required ensile, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Sfte Work Permit for subdivisions/large projects <br /> COMMERCIAL. Attach (3) 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 ensile. Construction Plans, Stamwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Perini( 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 $2800. a Notice of Commencement is required. (NC 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 (Front of Application Only) <br /> Retools if shingles Sewers Service Upgrades A/C Fences (Plct/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways._needs ROW <br />