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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � <br /> - '" Phone Contact for Permlttin _ <br /> Owner's Name � !lr�G���� Jd���Z/c�/l� Owner Phone Number <br /> Owner's Address 3 8 S yI /1��Itl� ,i 1�� Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � /�L�'�'�� /i �� LOT# �� <br /> SUBDIVISION ��I'�}� ��G L{9�'E � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VVORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN � O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �.� �m�� � � L✓!��' 3 t� �� S�i,t�GL�,J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �8'C1ILDING $ i,�� `� VALUATION OF TOTAL CONSTRUCTION <br /> rT r , <br /> QELECTRICAL $ _� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ;� n �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO�J / � � <br /> �]GAS [� ROOFING Q SPECIALTY 0 OTHER { �`� <br /> ��.__._.___»...�--" <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 <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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � /� � COMPANY �'��� /� 9�✓��v <br /> SIGNATURE �''—�� REGISTERED Y I N FEE CURRE� Y/N <br /> Address � �a rr /,,3 6 � ,��- ��- License# � �i ����o,;��) <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivlsionsAarge 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 alt 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 requlred. (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 /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />