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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> A . � Building Department <br /> Date Received �j3 ,7�Z <br /> Phone Contact for Permittin _�j��� <br /> Owner's Name �1�<��✓ �� 5 1/v� Owner Phone Number 3D-� (� 0 y�/ �,� <br /> Owner's Address �' �D 6 -sl f �7 c.v,f �p j� Owner Phone Number � <br /> Fee Simple Titleholder Name _-------'---~-- Owner Phone Number � <br /> Fee Simple Titleh r Address � <br /> JOB ADDRE � Y z l3 �/`f U 2 "� Gf/DO ,� LOT# � <br /> SUBDIVISIO � %L o2, D � S PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP D e NEW CONSTR � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � n Z �2 %p ,✓ f7[�yJ �v� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ <br /> VALUATIQN OF TOTAL CaNSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> OPLUMBING $ <br /> MECHANICAL $ �� G c�c� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS [�] ROOFING Q SPECIALTY 0 OTHER <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 /> MECHANfCA1 � COMPANY �N'�'s p'���4�� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �,���y.�$ y� � <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Worlc Permit for subdivisions/large 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 instalied, <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 /> .J.a.�a.La.41 .. r���rf��r������r.��� <br /> DirecUons. "` �� <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requi►ed. (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 PERMfTTiNG (�ront of APplication Only) <br /> Reroofs if shingles Sewers S�rvice Upgrades A/C Fences(Plot/Survey/Footage) - <br /> Driveways-Not over Counter if on puhlic roadways..needs ROW - <br />