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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ;,., •°..r � Building Department <br /> Date Received � <br /> Phone Contact for Permitting � — <br /> Owner's Name .Q� L � r Owrner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Ownee Phone Number <br /> Fee Simple Titleholder Address - <br /> JOB ADDRESS � � 'C�� LOT# � <br /> susoivisio� PARCEL ID# l���-� - p/(� �U��ad� r�/�d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED . NEW CONSTR ADD/ALT � SIGN Q � Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER . <br /> TYPE'.OF COfdSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> DESCRIPYIOtd OF WORK ` •� �P C% � � �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> �J�� <br /> ELECl'RICAL $ AMP SERVICE /�� PROGRE S NERGY Q W.R.E.C. <br /> a' <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION _ � ���f�v <br /> � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �j�,0� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � <br /> BUILDEF2 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address -License# <br /> ELECTRI,CI�,N Gr.�� COMPANY � G�j� <br /> SIGNATURE ����1� REGISTERED Y/ N �FEE'CURRE� /N. <br /> � Address � License# DC� <br /> PCUMBER.; CO�fiPANY- <br /> SIGtdATURE REGISTERED Y�/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL' COMPANY <br /> SIGNATURE' ' REGISTERED Y/ N FEE CURRE�• ,. Y/N <br /> Address�'` Licens.e.# <br /> ;.i, , .. ... <br /> OTHER '�._ COMPANY <br /> ; �SIGNATURE=:, : - ` RE�isrERE� Y/ N FEE CURREK Y/N <br /> ' AddPess�= � , �` License# <br /> � .=RESIDENTIAL-; Attach';(2)PIof�P.lans;(2):sets of'Building�Plans;(1)set of Energy FoRns;R;O-W Permit for new construction, _ <br /> -•_ ;s;:;,-;;�•-.. Minimum:ten;(10)working;days after submittaGdate.�Required�onsite;Construction Plans,Stormuvater Plans w/Silt Fence installed, <br /> - � Sanitary;Facilities;&•,1,.dumpster_Sife,WorlrPer,mitfor;subdivisionsAarge projects` ` " <br /> `� COMMERCIAL Attacli'(2)'coriiplete�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&1 dumpster.,Site Work Permit"fo�all-new.p�ojects.All commercial requirements must meet compliance <br /> -.;SIGPJ'.PERMIY Attach(2)'sets of:Engineered�Plans: -� � <br /> _ - ""'PROPERTY SURVEY required for aII.NEW..construction. , <br /> `,,Directioris: .-�}:�=-��� - <br /> FiII ouYapplication completely. <br /> ' OwneY�Contractorsign back of application,notarized <br /> If over$2500;a Notice:of Commencement is required. (A/C upgrades over$7500) <br /> _ " Agent'(for 4he'con'Vactor)or•Power of Attomey(for tFie owner)would tie someone with notarized letter from owner authorizing same <br /> .`;OVER:THE.COUNTER_PERMI'RING. (copy.of.contractrequired) � <br /> "-Re�oofs•if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> ' Driveways-Not over Counter if on public roadways..needs ROW <br />