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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , • Building DepaAment <br /> ` • Date Received �I , � V � <br /> Phone Contact for PermiHing <br /> Owners Name 1 v � � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS lJ�-� � �� LOT# � <br /> SUBDIVISION PARCEL ID# I�VLJ '"O 7W�V <br /> FROM PROPERTY TAX NO71G� <br /> WORK PROPOSED NEW CONSTR e ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> ^ 1 t I <br /> DESCRIPTION OFWORK " \ 1 � 6 'r <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> i <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ D / AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� �� �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �COMPANY �� �� � \Y� <br /> SIGNATURE REGISTERED Y/ N FEE CU en Y/N <br /> Address <br /> ` �� � License# � <br /> �/��V/�.0 \ . � y► <br /> ELECTRICIAN 'i ' U� COMPANY \ \ 1 1 1- <br /> SIGNATURE � REGISTERED Y/ N FEECU n Y!N <br /> Address � ��I License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N EE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construc0on, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sill Fence installed, <br /> Sanitary Facilities R 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 Fortns.R-O-W Permit for new construclion. <br /> Minimum len(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> '•"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> •• Agent(for the contractor)or Power oi Attomey(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 shfngles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />