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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' ' ' Building Department <br /> )ate Received Phone Contact for Permittin - <br /> �nrner's Name �/� J � �^ ,� '� � Owner Phone Number �� � �� � <br /> �wner's Address /�G� (..� �=S%�/� S/ Owner Phone Number <br /> 'ee Simple Titleholder Name � Owner Phone Number �- <br /> °ee Simple Tltleholder Address <br /> lOB ADDRESS LOT # !� l <br /> 3UBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED B NEW CONS7R 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 1/ G� V -� � �/t /C /Z� %����`-" / � � <br /> BUILDING SIZE r SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �� �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( Z y�� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � L7 <br /> BUILDER %i /� COMPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> � <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/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-0-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 Facilities & 1 dumpster; Site Work Permit for subdivlsions/large projects <br /> COMMERCIAL Attach (3) complete sets of Buildfng Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Pertnit 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 consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> '" Agent (for the conVactor) 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 <br />