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813-7A0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> y Building Department _ �� / � � <br /> .� L, <br /> Date Received � Phone Contact for Permittin J <br /> T j,, <br /> Owners Name U ��1 ��'� �' � 1 S�" ( Owner Phone Number $�3 � 3� � S'�� <br /> Owners Address � ,"� LCtI�� 1, Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Tideholder Address <br /> JOBADDRESS 7SJV i"�k•L�•(i��'L` ��� L�� LOT# I�"1 <br /> SUBDIVISION �I27�V+@,v. N� PARCELID# J �'� �'�� � ( (�� <br /> (OBTAINED FROM PROPERTY TA7( NOTICE) <br /> WORK PROPOSED B NEw coNS7R � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ^ ' �, C'IQ ' 'r �`7 � ZR— �� � � L <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT C� <br /> BUILDING $ � G} \ VALUATION OF TOTAL CONSTRUCTION <br /> l <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING 3 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER <br /> d �� � COMPANY 1� Y� i�; Vl.� �G_ DC�! �. <br /> SIGNATURE REGISTERED N FEECURRE� N <br /> Address '�.;�� !�( �"Po1 I1e,c�; • r. `�;,n License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License# �—� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # � <br /> 1111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-O-W Pertnit for new co�struction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlities & 1 dumpster; Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complele sets of Building Plans plus a Life Safety Page; (t) set of Energy Forms. R-O-W Pertnit 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 8 1 dumpsler 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 construdion. <br /> Directions: <br /> Fill out application wmpletely <br /> Owner & Contractor sign back of application, notarized <br /> If over SZ500, a Notice of Commencement is required. (AIC upgredes over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />