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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recceived <br /> Phone Contact for Permittin _ <br /> Owner's Name rv `�`�f �G� Owner Phone Number <br /> Owner's Address .SZ�-j � S T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Q�?� LOT# � <br /> SUBDIVISION , PARCEL ID# ��- Z��� �` dU�O--'Id�OO� DO�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT 0 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 U�� �('�IG� �`/� j�1� <br /> BUILDING SIZE SQ FOOTAGE �IO"1r HEIGHT (�d 'y� oj'� , 6 / <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1990, 0� � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> �PLUMBING $ <br /> MECHANICAL "�� v l ` � <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER L� ° <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY C�N'lC �f�?GG <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address �/�5 0 (-t'a`S r�G'A �/(J License# �I�7 lJ'� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE 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 /> RE5IDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 FaclliUes&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 constructlon. <br /> Dtrections: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sfgn back of applicat(on,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> VER THE COUNTER PERMITTING (Front of Application Only) <br /> •oots if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />