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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � • Building Department <br /> Da4e Received Phone Contact for PermitNng -- <br /> -rrn� -rrri <br /> Ovuner's Name � L l � Ow►ner Phone Number .�� ' ��� <br /> Owner's Address Ow»er Phone Number <br /> Pe�Simple Titleholder Name Owner Phone Numbe� <br /> Fes Simple Titleholder Address <br /> JOB ADDRESS �C9 I U � L�T# �� <br /> SUBDIVISION � PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION �� BLOCK Q FRAME � STEEL Q <br /> � � <br /> DESCRlPTION OF WOR1C � � <br /> BUILDING 51ZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ �D /('� VALUATION OF TOTAL CONSTRUCTION <br /> vv <br /> QELECTRIGflL $ AMP SERVICE Q PROGR€SS ENERGY Q W.R.E.C. <br /> [�PLUMBING $ <br /> QMECHANICAL $ VALUATIOPJ OF MECHANICAL IfdSTALLATIOfV <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISWED FLO�R ELEV�TI�SV FLn�OD ZDiUE ARFA �YES NiU <br /> ■ •.-■. ■ ■ ■ � i i � �-i P� G 7 i � iLY ��S�i MiiL� <br /> � <br /> BUILDER COflf1PANY <br /> SIGNATURE REGISTERED / FEE C EA Y <br /> Address License# <br /> ELECTRICIAN COfWPAtdY <br /> SIGNATURE REGfSTERED Y/ [V FEE CURREA Y/N <br /> Address License# <br /> PLUM�EF2 CORIiPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address LiCense# <br /> i1ilECHAIVICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/IV <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/Id <br /> Address License# <br /> 1111111111111111111111111111111111111111111111117111111111111111111 <br /> 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. Requlred onslte,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects - <br /> COfY7M�RCIAL 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 submlttal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI� �4ttach{�)sets of Engfneered#�{at�s. <br /> `*'"PROPERTY SURVEY required for all NEW construction. <br /> ' ■ � <br /> Directlons:. <br /> Ffll out applicatlon completefy. <br /> Owner&Contractor sign back of appllcation,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrade�over$7500) <br /> ''' Agent(for the contractor)or Power of Attorney(for the owner)would b�someone with notarized letter from owner authorizing same <br /> OVER THE COURfTER PERMITTING (copy of contract required) <br /> Reroofs if shingfes Sewers servioe Up�rades A/C �enc�5(PIoUSurv�ylFootage) <br /> Drlvewaye-MM over Coun�er if on publSo roadweye..naecle AOV�6 <br />