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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / <br /> ( 3 <br /> n Phone Contact for Permittin, 7/q --// . —311 <br /> Owner's Name ea.. Owner Phone Number i bb- 71'�' .-5S,6? <br /> Owner's Address 73/.S o-v-p7L be_____ Owner Phone Number <br /> Fee Simple Titleholder Name _ Owner Phone Number I <br /> Fee Simple Titleholder Address ) ,', "i� j, <br /> JOB ADDRESS , 73 /.S "6" o-.- * b p 2 Cj LOT# <br /> SUBDIVISION k VrA39 PARCEL ID# "42,S-4 .-.1 -Q0A -O000o - / 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR— ADD/ALT SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM OTHER <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME STEEL n I I <br /> DESCRIPTION OF WORK s e F4 go. •� <br /> BUILDING SIZE [ SQFOOTAGE 2"ISJ HEIGHT <br /> nBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL <br /> n $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS n , ROOFING n SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS N FLOOD ZONE AREA YES NO <br /> 91t03.575-.6- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh I V/N I <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREA I Y/N I <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh I Y/N I <br /> Address License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh I Y/N I <br /> Address I License# I <br /> OTHER / ° COMPANY l J Y I �y 1)4-4.--,-- <br /> SIGNATURE / I REGISTERED I Y/ N ] FEE CURREh I N I <br /> Address 13 7-Sr, l to O-�.�2 C k_ 0 C Y( License# I C C C - O5 '7 q Z <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 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 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(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 NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />