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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> )ate Received . Phone Contact fo�Permfttin – <br /> h+rner's Name � �,�C� � /— Owner Phone Number _ � - �;,2,5-�:� �-r <br /> �v+►ner's Address, L �� /"� '�/� ._A✓Q /f!1� '��� n y �38�a <br /> _ Vz�fcz.{' I Owner Phone Number <br /> °ee Simple Titleholder Name � Owner Phone Number � <br /> =ee Simple Titleholder Address <br /> lOB ADDRESS r ��L /' !`� �. ,�y LOT# �� <br /> 3UBDIVISION � �`Y!c'i'�i� �O!/�r PARCEL ID# �y ,� �✓ CJ (�� � � � �� 30 <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 9� �1�� G O`�1- it`iS j`/h /�� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT � �� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $�3 y�, ���, VALUATiON OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 51GNATURE 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 /> MECHANICAL `� �. COMPANY �'/� ' � � O i'r� _ <br /> 51GNATURE -�y REGISTERED Y N FEE CURRE� N <br /> Address () � License# ��-/'?() ,S�.���f` <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 8 1 dumpster;Site Work Permit for subdivisionsllarge 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,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW consUucUon. <br /> Directions: <br /> Fiil 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 57500) <br />" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br />�VER THE COUNTER PERMITTING (Front of Application Only) <br /> 2eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />