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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> + e . Building Department . <br /> Date Received <br /> Phone Contact for Permitting – <br /> Owner's Name �� (, O Z Owner Phone Number �3'��7–.� �)7'� <br /> Owner's Address ��O � �2 0.��EE� p� Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �, JOB ADDRESS � � � s � ��h ��� �� LOT# � <br /> �;; SUBDIVISION PARCEL ID# <br /> I.j (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �+ WORK PROPOSED e NEw CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> S� INSTALL REPAIR <br /> fi ' <br /> �� PROPOSED USE Q SFR Q COMM 0 OTHER <br /> 4� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> (� DESCRIPTION OF lAIORK � S"f�( f l e �� �S(� � <br /> � <br /> � <br /> �� BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � . <br /> �� �UILDING $ � D VALUATION OF TOTAL CONSTRUCTION <br /> �� QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C: <br /> � QPLUMBING $ <br /> �- g �� <br /> +; QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� <br /> �; <br /> ; OGAS Q ROOFING Q SPECIALTY � OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br /> � <br /> I BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> s <br /> Y Address License# <br /> � <br /> N <br /> � ELECTRICIAN COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# II <br /> � <br /> � <br /> � PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> i Address License# � <br /> ; MECHANICAL COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> � _ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ' Address License# <br /> �' <br /> j , 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 vir/Silt Fence installed, <br /> �. <br /> `. , Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge 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&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 from owner authorizing same <br /> ,OVER"THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(PlobSurvey/Footage) <br /> 'Driveways-Not over Counter if on public roadways..needs ROW <br />