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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ,. Building Department _ <br /> Date Recalved Phone Contact for Permlttin — <br /> Owner's Name � �l� Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �I � � �v�� LOT# � <br /> SUBDIVISION PARCE�ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/AL�T [� SIGN Q Q DEMOLISH <br /> INSTALL e REPAI <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �� �*-� ��.t.y _ o �,.�� � ,(� <br /> � <br /> BUILDING SIZE SQ FOOTAGE I�-1 HEIGHT <br /> i <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ v , J AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> v <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> ������ <br /> I <br /> QGAS Q ROOFING Q SPECI LTY � OTHER <br /> I FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA QYES NO <br /> BUILDER C�MPANY <br />, SIGNATURE REGISTERED Y/ N FEE CURREF Y/N <br /> Address License# <br /> ELECTRICIAN ����(� _ `' 1� <br /> C�MPANY -e.�2S� I:-� ��0-Gls-<<.�l <br /> SIGNATURE V`"�`�— RE ISTERED Y/ N FEE CURRE� Y/ �C <br /> Address C� � (�"?� I License# l� e �bc� (� S� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> I SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C�py�ppp�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address I License# <br /> RESIDENTIAL Attach(2).Flot Pians;(2)sets of Building'Plans;(1)se 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/S(It Fence installed, <br /> � Sanitary Facilities&1 dumpster,-Slte Work Permit for subilivisionsAarge proJects - - - � - - � <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submlBal date. F�equired onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Perm(t for�II new projects.All commercial requlremerits must'm�eet compliance <br /> SIGN PERMIT Attacli-(2)sets of Erigineered Plans., . <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of applicaUon,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upg des over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would e someone with nota�zed letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fenc (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />