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8?3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildi�g Department <br /> Date Received ' —/ phone CoMact for Permittln - <br /> Owner's Name �j'�<� c-1 ZaSS, Owner Phone Number �� �� a iG �* -��'�'� <br /> Owner's Address �� ?`� `5 r�°"t+� c'%^� w Owner Phone Number � <br /> Fee Simpie Titleholder Name � � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3'�"7 `f � �C�f H Cr� ti �nl �: LOT # � <br /> SUBDIVISION �a 1 � � � , PARCEL ID# l � -1 � -� � ' v � �`� `� � �`� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDlALT 0 SIGN Q C� DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK T (� �"'��� `^ �fi — C ci.•� �( t-,s �" O-� �� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGNT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS E � Q W.R.E.C. <br /> QPIUMBING $ / � <br /> �� �� � ; <br /> �MECHANICAL $�� �� VALUATION OF MECHANICAL INSTAL TION `_ ' <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # � � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/ N <br /> Address License # � � <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL , / COMPANY � �� <br /> SIGNATURE Y 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 /> RESIDENTIAL Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new constructlon, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Woric Permit far subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten (10) warking days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities 8 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. � � �1�j � a � i <br /> Fill out application completely. <br /> Owner & Contractor slgn back of application, notarized <br /> If over 52500, a Notice of Commencement is requfred. (A/C upgrades over 57500) <br /> " Agent (for the conVactor) 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 Servlce Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />