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013-780-OQ20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivad 5— , ' � �, Phone Contact for Permitting -- <br /> Owner's Name ` '(1 Owner Phone Number �$— 9 <br /> Owner's Address �� -t� �4. rh 1 1 � v�.Owner Phone Number O ) q g <br /> Fee Simple Titleholder Name Owner Phone Number�— <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS �� . ���n�r h i 11 s� r � ���'1� LOT# � <br /> SUBDIVISION PARCELID# � 1 "p�lQ'p�1 —b�,� —OSB�—�,�� <br /> (08TAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED e NEW CONSTR B ADDlALT � SIGN 0 MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL Q iJTHER <br /> DESCRIPTION OF WORK OYYI rGI C�I t'1V��� C� �—f L� ' S� � <br /> BUILDING SIZE �— SQ FOOTAGE C— HEIGHT �� <br /> � BUILDING I$ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> � ELECTRICAL �$ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> � PLUMBING $ <br /> � MECHANICAL $ �� Tf1 VALUATION OF MECHANICAL INSTALLATION <br /> l.N <br /> � GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ��NO <br /> BUILDER COMPANY � —� <br /> SIGNATURE FtEGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/N <br /> Address � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE C:URRENT Y/N <br /> Address License# � <br /> MECHANICAL COMPANY �1 r � [� ��r ,�'(1C'_ . <br /> 51GNATURE REGISTERED Y/ N FEE CIJRRENT Y/ <br /> Address � � �/e• r 3 � License# <br /> OTHER CaMPANY <br /> SIGNATURE REGISTERED Y/ N FEE C:URRENT Y/N <br /> Address License# � <br /> RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new��onstructio�, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construclion 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 8uilding Pians 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& 1 dumpster.Site Work Permit for ali 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 /> Uirections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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 5ewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />