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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 7 � Phone Contact for Permitting — <br /> Owner's Name Owner Phone Number <br /> Owner's Address �� (p S Owner Phone Number <br /> Fee Simple;Titleholder Name Owner Phone Number- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2 2?SD �� !fL LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NW CONSTR e ALLREPAIR SIGN = = DEMOLISH <br /> i} <br /> PROPOSEp USE = SFR = COMM 0, OTHER <br /> TYPE OF CONSTRUCTION 0� BLOCK = _ FRAME = STEEL Q <br /> DESCRIPTION OF WORK O <br /> j, <br /> 'BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> BUILDING $ <br /> 3 l�tJ� VALUATION OF TOTAL CONSTRUCTION <br /> =E.LECTRICAL $ 6 AMP SERVICE, Q PROGRESS ENERGY Q W.R.E.C. <br /> i. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> r <br /> OCAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED;FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i , <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURREP <br /> Address License#' <br /> ELECTRICIAN COMPANY <br /> `SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER; COMPANY <br /> SIGNATURE REGISTERED' Y/ N` ' FEE'CURREK <br /> Address License# <br /> MECHANICAL- COMPANY' <br /> SIGNATURE-• REGISTERED Y./ N:" .FEE''CURRED-' -Y/N <br /> Address . // Licenseg# <br /> . •COM,P,ANY <br /> SIGNATURE ._ ,/ REGISTERED Y/ N •-FEECURREN. Y/N <br /> Address , 1g1L t 3 � G ��`r _ License# ®OlL�._ <br /> RESIDENTIAL . Attach;(2),.Plof Plans;'(2)sets,of Building Plans;,(!)set of rm Energy.Fos;R-O-W.Permit k.,fog new.constructio <br /> Minimum ten'(10f working days after submittaFdate: Required onsite,Construction Plans,Stonnwater 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT . Attaoh(2)sets of.Engineered Plans. <br /> ***'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner'&"Contractor sigm back of application,notarized, <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> '* Agent:(for''the contractor).-or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> `OVER THE4OUNTER•PERMITTING_ (copy of contract required) <br /> ;. Reroofs'.ifshingles - Sewers Service'Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />