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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> � � <br /> i <br /> Date Received Phone Contact for Permittin <br /> Owners Name �/ l✓/7 /[ � Ff�� ���� <br /> Owner Phone Number <br /> Owner's Address l� �[YGfY� LcJ � Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS � L� C �t�L l ��� di// ���f o2 LOT# � <br /> I <br /> SUBDIVISION PARCEL ID# � <br /> ' (OBTAINEO FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CON5fR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /v�`L `-'" C° � <br /> BUILDING SIZE S�FOOTAGE�I HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE I Q PROGRESS ENERGY Q W.R.E.C. <br /> I ��QPLUMBING $ � �� � � ^ <br /> I � <br /> i <br /> �MECHANICAL $ �f VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALIY Q OTHER / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEiAREA QYES NO � <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address li License# <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> I <br /> PLUMBER . COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# <br /> MECHANICAL COMPANY rl•��q � ` !y`G �yj/�.t�- _ <br /> SIGNATURE REGISTERED YI N FEECURRE� Y/N <br /> Address `�o.��t'J►2 f /�` , erv � License# ��' � � <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 111111111111111111111111111111111111�1111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sels 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,Construction Plans,Stortnwater Plans w/Siit Fence ins[alled, <br /> Sanitary Facilities 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. i <br /> ""PROPERTY SURVEY required for aIi NEW construction.l <br /> Directions:• � <br /> Fill out application completely. � <br /> Owner 8 Conlractor sign back of application,notarized , <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloiSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br /> I <br /> � <br />