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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ 2�� /� S�� �a� -- ��� <br /> l Phone Contact for Permittin <br /> Owner's Name �C7{�!'1 �(/E Owner Phone Number <br /> Owner'sAddress 5�3 �7r� �j��2°P1 Z � � � <br /> i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5�f 3/ /�`'' �j f, Z� r���j! �L �35 � LOT# C� <br /> SUBDIVISION PARCEL ID�! I�����I-�(b"" I�7�>�- Oa� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNS7R 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK in5-�ll �t �'�i r�"f ��� �p� �j� <br /> j � /L� )`,�, .r <br /> BUILDING SIZE (� � �"T SQ FOOTAGE �^/u HEIGHT � � � <br /> QBUILDING $ (��Q� � VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � ,j�v�-�i � <br /> (,1' )C�-.'• <br /> r ,� <br /> [�MECHANICAL � VALUATION OF MECHANICAL INSTALLATION M �j `I �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER - � �� �.. � T��� COMPANY N /q" <br /> SIGNATURE �✓� '� REGISTERED Y/ FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <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# � <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,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilfties 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans pius 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&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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notartzed <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over ST500) <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 />