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� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmen� <br /> Date Received —�S �, � Phone Contact for Permitting — <br /> Owner's Name � Owner Phone Number ���� � 3T <br /> Owner's Address � U � � e M �S lv Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S � t'(1 O'r 'A C ' LOT # �� <br /> SUBDIVISION S� D�� , PARCEL ID# O �D O_ O <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK r 7�TE{� � �� ��O 1�T �G� E� r J O � �° S � <br /> BUILDING SIZE � dC ' J� ��/� SQ FOOTAGE �� HEIGHT '� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> . C� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � r�` `� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER t COMPANY O 1Y> C O W IV <br /> SIGNATURE V�. REGISTERED Y/ N FEE CURRE� � Y/ N <br /> Address ' License # <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 /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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, ConsUuction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery 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 Pla�s, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliGes & 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 aII consiruction. <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 required. (A/C upgrades over E7500) <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 �`- - ��—•_�,\�� yQ�,-�� <br /> � G � / � � � � ��� ��o <br /> , ,� / �_ �--.. � /� <br /> . �°" ) <br />