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u,.�-�nu-uuzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • • Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name G� j�� ���� Owner Phone Number g l —�80-`�9 <br /> Owner'sAddress �-l�' ORK��T�I�� ��. OwnerPhoneNumber <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��D D S rr� �IQ, � ��j�` C � �� ��' ' LOT# � <br /> SUBDIVISION , PARCEL ID# I� "2GP'Z� ' ��`LQ` �.�,- /�,�d <br /> (OBTAINED F�pROPERTY T�71cE1 DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT C] SIGN <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 r 1�/°7��� "j- �E? ��}�� 3 �p� Cj ��'� �C �- �� z CtM CJ�UP <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �/.3 3�/. <br /> �MECHANICAL $ ����'� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER I �� <br /> FINISHED FLOOR ELEVATIONS l � <br /> FLOOD ZONE AREA [�YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL p,��� !�'^,�y COMPANY �/Q� /UC�c$�'j��C�� <br /> SIGNATURE L��v//t� ���(�!�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C13��,��8 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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,ConstrucNon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpste�;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Ptans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days aRer 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 /> ���� <br /> Directions. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over;7500) <br /> *'' Agent(for the contractor)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(PlotlSunrey/Footage) <br /> Driveways-Not over'Counter if on public roadways..needs ROW <br />