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813-780-Q02L1 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's Name � / � � iy�� � Owner Phone Number <br /> Owner's Address lG� L .S. ���'� (,'���f � `'� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �I L� S i l�''� '' �'� `t��.1' �% �t GL r!.. . ��1 LOT# �� <br /> SUBDIVISION S (�c.- G�C� ��s PARCEL ID# C �Z b - Z - i:/ Z Q --c�v v O O - c O(�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR O COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ��;t? � 3 � -S� [„u � � � ` � <br /> ia. :o � .. f � � <br /> BUILDING SIZE —1 SQ FOOTAGE� HEIGHT <br /> QBUILDING $ �Z c//C �� VALUATION OF TOTAL CONSTRUCTION <br /> / / <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���` Z <br /> QGAS [� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �J�2 <br /> BUILDER COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —1 <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 I N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER `� �/--. COMPANY l'e � �S C�J�c�, �Gc�1� `; <br /> 0 <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��' c�( � ,G h � <br /> ;7�v,� i> >F' S'�S`7 � License# C(�C.' u � � <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 Pians w/Silt Fence installed, <br /> Sanitary Faciltt(es 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pfans 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. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facitities 8�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 /> ,.� <br /> -������„�,.,�„�„���„�.���� <br /> Directions. " <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over sT500) <br /> " Agent(for tl�e 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 />