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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for-Permitting — <br /> Owne s — d Owner Phone Number OmJ < `" �Y. <br /> Ow er teas Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOBESS �►+ �'�'! LOT#. <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED,FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR QBZIAL� -�A SIGN �:_ Q DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE SRb Q COMM OTHER- <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTI0W-mokk— a T,rt r <br /> BU)LDINGISIZE SO FOOTAGE HEIGHT <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 16 <br /> i <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING =] SPECIALTY OTHER <br /> FINISHED�FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .mac:� :�'7 :zr�-. I �x:s:'4�:,; . :any-�,•• "�'^ <br /> ILDER�=--FL "" COMI�ANY�-"-' <br /> SIG ATURE REGISTERED JY/ N FEE CURREN LLN .J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> r <br /> 2. <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address.,- License# <br /> MECHANICAL_ COMPANY <br /> SIGNATURE,, REGISTERED Y/ N FEE CURREN: LLLJ <br /> Address. license#' <br /> OTHER`.. COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YJ . ; <br /> .Address License# <br /> RESI!?ENTiAt Attacks{2),Plct'Plans;(2),sets of tuilding Plans;'{1)`set of'Ene"rgy.Forins;"-W Permit for new=nstructlon, <br /> Minimum.ten'(.10);working d_ays-after submI Fdate.'-Required onsite,'Construction Plans,Stormwater Plans,w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislonsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-04W Permit for new construction. <br /> Minimum tem(10)=working days after submittal.date:'Required,onslte,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 /> - ....PROPER 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: (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 THE-COUNTER PERMITTING (copy of contract required) <br /> Reroofs if sh'ingies Sewers Service:Upgrades.;A/C Fences(Plot(Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />