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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recefved � ' � � f �� _ c <br /> Phone Contact for Permittin <br /> Owner's Name rC/l�. Owner Phone Number �3i 3-`7�d =�6 <br /> Owner's Address � ` � Q� Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS C��� I `� r ��• � , <br /> LOT # <br /> SUBDIVISION � i�l 1`I PARCEL ID# '- 1� " l��0� "'(�'"' ;� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT �•' ^ SI �N Q Q DEMOLISH <br /> INSTALL REPAIR ����YC70T <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK (�'1�� �- � � r S y�/� � n �� <br /> BUILDING SIZE SQ FOOTAGE i'� HEIGHT <br /> � BUILDING $�/a �� .� VALUATION OF TOTAL CONSTRUCTION <br /> �. � <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENER -7� W.R.E.C. <br /> QPLUMBING $ <br /> 1 � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N `� <br /> �GAS [� ROOFING Q SPECIALTY � OTHER __ _ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE 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 J N <br /> Address License # <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess License # <br /> s <br /> OTH � COMPANY I h �i� �� • <br /> SIGNA ' REGISTERED / N FEE CURRE� / N <br /> Address �; S � i 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 subdivisions/large 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 8 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 all NEW construction. <br /> Dtrections: <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 57500) <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 (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />