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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . <br /> Building Department <br /> c �/ <br /> Date Received Phone Contact for Permittin � 5 � ( — �� /! <br /> Owner's Name �m� fiL � Owner Phone Number u�� ��� 53.5 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS w� V I LOT # �� <br /> SUBDIVISION I w v v PARCEL (D# V ��r/ ��`" Q � 0�' Q �� o �`� �� U <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 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 � � � 1 "" � � <br /> BUILDING SIZE FOOTAGE � HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �C� �G{ <br /> � � lJ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' <br /> f���-Dfl <br /> �GAS Q ROOFING Q SPECIALTY 0 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/ N <br /> Address License # <br /> i � <br /> MECHANICAL COMPANY S G W <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � ��J� � I-- V� License # C� f�C(..- Q S b��� <br /> OTHER COMPANY <br /> SIGNATURE 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 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 Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Faciiities & 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AlC 4p�rades over 57500) <br /> '* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized tetter from awner 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 />