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813-780-U020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received �. _/ �� ►'/, � __ �� <br /> �� ! � Phone ConWCt for Permittin� <br /> � r i � rrrr - � i r r9--r`rY" <br /> Owner's Name 1,�,�� Y Owner Phone Number <br /> Owners Address Q �Q Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �G.V� �� �L 2 LOT# [I� -�� <br /> SUBDIVISION �� �f Z h PARCEL ID# �I � - �- WI V' I ' d�� <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED rvEwcONS7a� ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER � <br /> TYPE OFCONSTRUCTION BLOCK Q FRAME � STEE� Q �� <br /> DESCRIPTION OF WORK ��� I�U1f�1l��fi� � <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> �BUILDING $� � n.ob VALUATION OF TOTAL CONSTRUCTION <br /> L <br /> �ELECTRICAL $ 'SS Oa AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ 7,1�(,�.0O ��' ' V" •'�v'J 3� <br /> w� � � / i <br /> �MECHANICAL $ VALUATION OF MECHAN�CAL INSTALLATION t <br /> 9 SU,bv <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER /�� ��OMPANY S •C • SIA� 4J�1�'� 11J� I.S���, �' <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address 0 �• ���p License# l� '-t J f,. <br /> ELECTRICIAN ,//_ �J,/►_ �� ,,COMPANY •v� �� IC��(}�� � �,�� <br /> SIGNATURE f�`�� � REGISTERED Y 1 N FEE CURRE Y/N <br /> Address ��25 �$b 9 License# �2.00( ��� <br /> PLUMBER �/�/ �OMPANY SW 1��n ��U1Y�I�'������ <br /> SIGNATURE 4 L'� REGISTERED �Y/ N FEE CURRE� Y!N � <br /> Address �•b. .3 License# hr I � <br /> MECHANICAL �C� v` OMPANY �r�-;) u'��'Um <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �'� �q License# �Jl�+���,�b� <br /> OTHER %/��//{_ �' OMPANY S. � S�C Y�O�`V C � <br /> SIGNATURE �(/ REGISTERED Y N FEE CURRE� Y/ <br /> Address d O✓�1'O Dr• � License# �w t J L Z I '3�j 5 <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � ��� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 inslalled, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete 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 instalted, <br /> Sanitary Facilities&1 dumpster Sde Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred for all NEW construction. <br /> Directions: � <br /> Fill out appiication completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgredes over E7500) <br /> " Agent(for the contrador)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 />