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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiyecl _ �� � 1 Phone Contact for Permitting ��� �J� - uZ�� <br /> Owner's Name �lQ.�(1�Q, C ^ � Owner Phone Number <br /> Odvner's Address � �e. ��L_ Obmer Phone Number <br /> Fee Simpl Ti�t.Jleh der R1ame OwneP Phone Number <br /> Fee Simple Titleholder Address <br /> JO�ADDRESS LJ � .p '�5� LOT# � <br /> SUBDINISION PARCEL ID# � l�'G ` Q�Jd-�� �- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOREC PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF COtdSTRUCTIORI Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOId OF WORK ��j .� m� � � �"�, ��O�z,��1�l <br /> U Rc�2�'��Yl2.i►�-� <br /> BUILDIMG SIZE SQ FOOTAGE ��� HEIGHT � � ��� �'�S � �� <br /> �BUILDING $ 1 ����� VALUATION OF TOTAL CONSTRUCTIO�` Z���J� <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ '7 .1/G <br /> �� �1/ <br /> � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIOfVS FLOOD ZONE AREA QYES NO <br /> l �°�' <br /> BUILDER . ...'_��_^�COMPANY 1�� '� ���,C �~� ` <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � l3 ass <br /> ELECTRICIAN CORflPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIMBER COMPAPIY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> /�ddress License# <br /> PVIECFiAidICAL COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPAtdY <br /> SIGfdATURE 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence lnstalled, <br /> Sanitary Facllities 8�1 dumpster;Site Work Permit for subdivlsions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Build(ng 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 /> SIGM PERiU11T Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of apptication,notarized <br /> If over b2500,a Notice of Commencement Is required. (AIC upgrades over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TliE 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 />