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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> , Building Departrnent <br /> Date Recelved �— —r � Phone Contact for Permittin — ''" V <br /> Owner's Name Q_(Y?I � �►� Owner Phone Number - 1 L • �� <br /> Owner's Address � c�[-� . � �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � � J LOT# � <br /> SUBDIVISION PARCEL ID� � �� • � �j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT� SI Q Q DEMOLISH <br /> INSTALL REPAIR �.� <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK i � � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �+�~ <br /> �UILDING 3 �� (� ---� VALUATION OF TOTAL CONSTRUCTION <br /> �.j <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/� <br /> OGAS � ROOFING Q SPECIALTY Q 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 CURREA Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address Ucense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address c License# � <br /> OTHER COMPANY ( �� � <br /> SIGNATURE � �� REGISTERED Y/ N FEe CU n Y/N <br /> Address � •� � J`! License# ���� � � �c�C�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inshalled, <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 consVuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (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 /> � <br /> OVER THE COUNTER PERMI7TING (Front of Applicatlon Only) " <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />