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813-78Q-0024 City�ot Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name � ' + GL '� j ^^� l� C � Owner Phone Number �Jl�J 3�j — ;��� <br /> Owner's Address / / 5 � ��C� G " �� ��/f� Owner Phone Number �/ �.�-� ��� � <br /> Fee Simpie Titlehotder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ! / � 5� `�--(�,�'�/�Gr )I j�j( --� ��(y���(� 11. LOT# ,� G) <br /> SUBDIVISION �'r�5 V l'�� � /�� 5 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER � . <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> y � <br /> DESCRIPTION OF WORK I � � � L' Gt ) 1� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> Q BUILDING $' �' � VALUATION OF TOTAL CONSTRUCTION <br /> �..�� . <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � ��5 <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NOL� <br /> � <br /> BUILDER ` ,� � � / COMPAMY �l L�'L.� �(_ �L �' ' <br /> 5ivh�llTURE ` '� ' � ��'�'�- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN / ._,_ �� �� ��� <br /> SIGNATURE � ' � REGISTERED / N FEE CURREA Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address Lfcense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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,Constructlon Plans,Stotmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work PeRnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)compiete sets of Buiiding 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,Corstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer 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 />