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813-780-002C City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '� �J � „7 ? � <br /> Phone Contact fo►Permittin �� <br /> Owner's Name j 1 M � �{-C�°S j j,v,� g�f��fL pWner Phone Number �- $7 ., 6 <br /> Owner's Address ��. �, .S►"7fT�'� ,$'�; ��.,t,�� ,V �,L, pymer Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number -1 <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � c.S�� -s J � LOT# �� <br /> SUBDIVISION PARCEL ID# � � �' ,2��O� "�f p . .��j� `7b <br /> (OBTAINED FO PROPERTY T�ncE)DEMOLISH <br /> WORK PROPOSED e NEw CONSTR� ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �O V o Ll Q(>'�`�T �� S� V,y <br /> BUILDING SIZE � SQ FOOTAGEC� HEIGHT � <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ 6� �p AMP SERVICE�G�,� � PROGRESS ENERGY [� W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# � -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address 'v,v � License# �COOO���2., <br /> �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y! N FEE CURRE� Y 1 N <br /> Address License# � � <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)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 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 Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerciat 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 8 Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over=7500) <br /> "' Agent(for the contractvr)or Pewer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PEFtMITTING (Front of Application Only) <br /> Reroots if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />