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u�e-��u-��uzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recefved '�. �—�� t/ <br /> Phone Contact for Permitting U U __ T <br /> � <br /> ,_ _ Owner's Name Owner Phone Number <br /> ' Owner's Address Owner Phone Number � <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> —� JOB ADDRESS LOT # �� <br /> SUBDIVISION , PARCEL ID# �" ZS' Zf � Oa D"'� �/V 7� � DU UO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> " WORK PROPOSED NEW CONS7R ADD/ALT �] SIGN [� Q DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR [� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> --� DESCRIPTION OF WORK � <br /> G <br /> BUILDING S12E O� SQ FOOTAGE HEIGHT D� <br /> - �BUILDING $ /� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $, AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> f <br /> OPLUMBING $ <br /> C� � � - �� � � <br /> S <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `Z �UC � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � �•� <br /> BUILDER + OMPANY <br /> SIGNATUR I�EGISTERED Y/ N FEE CURRE� Y/ N <br /> Address , License # ��,� <br /> ELECTRICIAN � ` COMPANY � � " <br /> SIGNATURE REGISTERED / 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/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Ptans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) woricing 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 Safety Page; (1) set of Energy FoRns. R-O-W Permit for new construction. <br /> Minimum ten (10) working days aRer submittal date. Required onsite, Consttuction 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 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;7500) <br /> "' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> aVER 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 />