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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /,,'�,/� 3i � � � �j�j <br /> Phone Contact for Permitti� �r� ' - <br /> Owner's Name y � /�/('i, Owner Phone Number <br /> Owner's Address 5 � Owner Phone Number r- -� <br /> Fee Simple Titleholder Name Owner P one Number ���' ��p'OOy� <br /> Fee Simple Titleholder Address -� <br /> JOB ADDRESS 38135 .�/�l�T�' U .8 f/i S /�L, 33.5"�/ LOT# �� <br /> SUBDIVISION PARCEL ID# O�Z' �!.-1/-UO/O.O3Qa0� U030� <br /> (OBTAINED FROM PROPERIY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME O STEEL Q <br /> DESCRIPTION OF WORK �,�„ /�„� - � - � � --� <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> s� (� <br /> QELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �Gcf S <br /> TO 'ZOPy GTJ�.O F <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����a��r <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 C� � ' fN/��e J'/`�- <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address 1� � Q�•- 3`lV �icense# G(.i /3(����_ <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 � I �'Nlt.-G'JI'�(� <br /> SIGNATURE �i� � REGISTERED FEE CURRE� Y/N <br /> Address �``"� "� l.n L�r 3�6 jd' License# � J��'j'/ 7�� <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)working days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site 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 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 /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over aT500) <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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />