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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a ' ���. Phone Contact for Permittin Z '� _ [,�. � 1 ( <br /> Owner's Name J � � � ,Q,.� Owner Phone Number �2 - ��� ' Q�j 6� <br /> Owner's Address . °] � �1� �3 � �I l ' 1��� Owner Phone Number 0 �� ` 3 i '2 " � �j �(F <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address � � <br /> JOB ADDRESS � ' r e S � ��fi. L. � (11� ��a LOT# C� <br /> SUBDIVISION PARCEL ID# � 2'Z�t''L� -d 2Co0 -ci13 Gb-D g�'d U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALLSTR 8 REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK �C�. 1Ct.C1Z. I� K I,�rl� '�' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> / <br /> QPLUMBING $ /�� <br /> [�MECHANICAL $ �;y�a OZ+ VALUATION OF MECHANICAL INST LLATION /��� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> S GNATURE �'} 1 � COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN ;� � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER rV � p( COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL � COMPANY GLZl�t�,/Za'+ ,d✓!" �+�l. <br /> SIGNATURE ���� - REG ED Y/ N FEE CURRE� Y 1 N <br /> Address � I�g l, � t!r 5(�' y�t; ��r' �3�� License# � A C, 1 � ( �� ��f � <br /> OTHER }� ) A� COMPANY <br /> 31GNATURE �� T� 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Facilities&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 s2500,a Notice of Commencement is required. (AIC upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)woutd 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />