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813-780-0020 City of Zephyrhills Permit Application Faz-813-780-0021 <br /> Building Department <br /> Date Received �.- Z�' � Phone Contact for Permittin - <br /> Owner's Name 57 E v C � u r G$ g Owner Phone Number � 13 - S 38-z.y gS <br /> Owner's Address 3���-� 1� Ue- Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address --1 <br /> JOB ADDRESS ��� O / 11L°. LOT# � <br /> SUBDIVISION PARCEL ID# I�/Z� ��� ` VD � � "' g?�" D 1 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q 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 Q lCppT tw��,.l G,�ca,4� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> 0 BUILDING S DD VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ � %�/�/,; / \ <br /> y� �Ui <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> . � <br /> BUILDER ( COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense� � <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! N FEE CURRE� Y/N <br /> Address License# r- <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 Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildirg Plans plus a Life Safety Page;(1)set of Energy Forms.R-�-W Permit for new consUuction. <br /> Minimum ten(10)''v'�idrki��y,s��Qr:submittal date. Required onsite,Construction Pl�n�s Stormdvatel"Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumps�er.Sfte Worlc°Permit for all new projects.All commerciaT rei�{?ogMents mdst me�t cpmpliance <br /> SIGN PERMIT Attach(2)se�bf�Q�P�S'7� . <br /> ""'PROPERTYSURVEYrequireafor��iClEWconstruction. °��:"'�,�c�`'�� +�r1�jS' <br /> .y <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over E2500,a Notice of Commencement is required. (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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />