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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 Permittin _ <br /> Owner's Name �. //V�� !•�✓V c S'%,"��'"%-� l'�� p <br /> Owner Phone Number O �-3 � 3 7 � '— // J i <br /> Owner's Address ���� C��`pC � �"�=� Owner Phone Number � <br /> ,��__-__ <br /> Fee Simple Titleholder Name �"`----.._„_ --'" Owne�Phone Number <br /> �� <br /> Fee Simple Titleholder Address - "�''`�-- <br /> JOB ADDRESS �� S°� J .�EL s9�✓� �,1 1 v �ti � <br /> LOT# <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN Q � DEMOLISH <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 .--� �����2 ��,�q(�t� M��E-� /�/�t PL✓�C E (�✓i"Tt-f � �.v.-tic ,� v <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> _� C p <J 9 �(�-'%�.t� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL a :�� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �,3,,c> . <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' <br /> License# <br /> ELECTRICIAN•--. "�� � COMPANY � l�TE/L�O G lC �LC--�i/t!L <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 I N FEE CURRE� Y/N <br /> Address Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J 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 /> Minlmum ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsflarge pro)ects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe 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,Constructlon 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 requlred for all NEW construcUon. <br /> l�I�r��TT1IIf'i111 rI�1111n1l�I r el <br /> D(rections. '"''1'``j'" <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requfred. (A/C upgrades over 57500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />