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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildir;g Deparb�ent � <br /> �� <br /> Date Received ' Q'" � phone Contact for Permittln _ �� <br /> .—Owner's Name _� Owner Phone Numl�r � .�. � � �\ <br /> �' <br /> r <br /> ' Owner's Address � j/ Owner Phone Numbel` w ^ � 4 � " _ ---^� <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �JOB ADDRESS � � LOT # �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> � DESCRIPTION OF WORK � � I � � <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> �BUILDING $ n`7 VALUATION OF TOTAL CONSTRUCTION <br /> ! 6 <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � / j��' ' `� S{.� <br /> e 1? � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l ��,Llv`'�� `� <br /> r,�� ;�� <br /> QGAS Q ROOFWG Q SPECIALTY � OTHER -`��%�'�; �pQf��P �'` <br /> � ��� �� <br /> FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA QYES NO j /� ' <br /> L <br /> • + , ,. �, „ <br /> (�UILDER � COMPANY � - � = t JA �wv�' <br /> SIGNATURE � REGISTERED Y/ N FEE CU E� ��, �8 <br /> Address � License # � �'k� , ,�Q�� <br /> ��;� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <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. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach (3) 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 Sl1RVEY requlred 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 of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />