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813-780-009�0 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received Phone Contact for Permittln — <br /> Owner'�Name �(`� � <r�l P ! L�I( Owner Phone Number � � - � � 1 <br /> Owner's Address � /P/� �c/D D p /� � ��l / ��}Awner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a�P Gt GC D�� ' LOT# � <br /> SUBDIVISION � V �/ � � � PARCEL ID# � � v D U-" OCD% O� Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEw CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK C �� �C � � C l ll 1�(O� (n '!'l ��� �r7(�i� ) <br /> / <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 /> QPLUMBING $ � <br /> CHANICAL $ .�— VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> r <br /> OGAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE 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 /> � � —7- <br /> iNECHANICAL COMPANY O/IO �' 1 � <br /> SIGNATURE REGISTERED Y FEE CURRE� Y/ <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s 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/Sflt Fence installed, <br /> Sanitary FaciliUes&1.dumpster,Site Work Permit for subdivislonsAarge 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,CanstrucBon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new proJects.All commercial requtrements must meet compllance <br /> SIGN PERINIT Attach(2)sets of Engineered Plans. <br /> ••`•PROPERTY SURVEY required for all NEW constructfon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over E2500,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 owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />