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�'313-780-0020 City of Zephyrhills Permit Application Fax-t313-78U-UU11 <br /> Building Department <br /> Date Received � pho�e Contact for Permlttln – <br /> Owner's Name Owne� Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder AddFess <br /> JOB ADDRESS Z Z Li<l//f,�' ^ � s��� LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> °' DESCRIPTION OF WORK � S �/ �� / CQ ��f j �1[ vd�i �✓ �'- / �"(,( �ry/L � <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT �� <br /> �BUILDING �L � l« VALUATION OF TOTAL CONSTRUCTION <br /> E <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENE Q�. , W.R.E.C. <br /> QPLUMBING � ��� � -� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> c�BUILDER � <br /> � COMPANY v 5 � G � <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 # r � <br /> MECHANICAL COMPANY <br /> SIGNATURE RE6ISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/ N <br /> Address License # r � <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, ConstrucUon Pians, Stormwater Plans w/ Silt Fence fnstalled, <br /> Sanitary Facilities & 1 dumpster; Site Wortc Permit fo� 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) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 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 fo� all NEW constructlon. <br /> Dtrections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, nota�lzed <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) wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubUc roadways..needs ROW <br />