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813-780-0020 City of Zephyrhills Permit Application Faz-813-780-0021 <br /> Building Department <br /> Date R�ceived Phone Contact for Permitting — <br /> �q�,,��� <br /> Owner's Name ��f"v " b��� Owner Phone Number <br /> Owner's Address �C� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '''�- -- - LOT# � <br /> SUBDIVISION —� PARCEL ID# ; <br /> �-' (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> , � <br /> BUILDING SIZE S OOTAGE� HEIGHT <br />' OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC L $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br />, <br /> i �PLUMBIN $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � 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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER OMPANY <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> Address .� License# <br /> RESIDEtdTIAL 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 day,s after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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,Construction Plans,Stormwater Plans w/Silt Fence installed, <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. - , <br />', '*"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. `, <br /> Owner&Contractor sign back of application,notarized - <br /> If over$2500,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 ftom owner authorizing same <br /> OVER THE COUIdTER PERMITTING (copy of contract required) _ <br />�, <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public�oadways::needs R01N� ��� � <br /> � � , <br />