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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recefved � /" � / <br /> Phone Contact for Permittin � UI '��'�i �Z <br /> Owner's Name �Civj .e G,� Owner Phone Number 3 -- - �d'- e <br /> Owner's Address 3�.5� - (yc;,, 172 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J S�c�� ~ �� / �- Zc r�, �� �'/ 3�Sz LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK C+U�t e> C f t f G J�� �( / 7 <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING $���D � VALUATION OF TOTAL CONSTRUCTION ����� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS NERGY W.R.E.C. <br /> QPLUMBING $ <br /> ��► � �� � <br /> � bC�C � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY [–� OTHER ' ` / L� <br /> FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO ,/'� J V �� <br /> w <br /> � <br /> BUILDER / COMPANY C C/W a <br /> SIGNATURE �G✓�✓�P ���G� i'� REGISTERED Y I 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 <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Addreas License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit 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 subdivisfonsllarge 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 constructlon. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Sto►mwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster.Site Wo�lc 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 consVuction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of appiication,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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />