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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� Phone Contact for Permitting V�� ��� — ���v <br /> Owner's Name 1�'���- ���Qn�— ��'L'�-�n Owner Phone Number <br /> Oumer's Address �lJ"1�1 ��h , _`�!� Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS ,j�'"�O�1 ��h + `v�— �R- h�-�f h���5, ��-- ��J�� LOT# � <br /> SUBDIVISION PARCEL ID# l \ -�-a1 C�I O—r�-15cx� --Uv�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> INORK PROPOSED B NEW CoNSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��lA�'�.'T �l��-- �e-- 1OlC��e-�\ <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $-_ <br /> �oc�-oc� [S���. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER � � "�� <br /> � 0 0 0 � <br /> FINISHED FLOOR ELEVA710NS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ` <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER ��(�.,j�AA� `� COMPANY ���� w��`����5� 1'n� <br /> SIGNATURE REGISTERED Y N FEE CURRE� N <br /> Address "�J1�� ��� �t �"`1��15� F� ��ya' License# 1.���1L,��lJ�'�� <br /> AAECHANICAL COMPANY <br /> SIGNATURE ReGlsreRe� Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDIENTIAL 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 Facllities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMAAERCIAL Attach(3)complete 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,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 constructlon. <br /> Directlons: <br /> Fill out application completely. � <br /> Owner&ConUactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over;T500) <br /> •" Agent(for the 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 , ..Seivice Upgrades'•A/C;:.'��';Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if,on public,roadways,.needs:ROW ;�' <br /> - - = � ` ', <br />