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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — /� - �""�_ <br /> Phone Contact for Permittln _ <br /> Owner's Name � d r'N (a Owner Phone Number g " — � �0 <br /> Owner's Address �� � Sr Owner Phone Number <br /> Fee Simple Titleholder Name —1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION , PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q [-- <br /> DESCRIPTION OF WORK � � ���-- � C � �� ,Ry� <br /> �i <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT -- <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ �� ��� <br /> [�MECHANICAL $ G p' VALUATION OF MECHANICAL INSTALLATION <br /> O <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � ���� <br /> FINISNED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CuRREi. Y/N <br /> Address ' <br /> License# <br /> ELECTRICIAN COMPANY �''� �--f��� � �� "'C� C <br /> SIGNATURE •��'� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address , � ��c7 � <br /> License# �G� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> �J ��' �0.� � <br /> SIGNATURE �-' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � 1,��—� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction 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 />�IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""*PROPERTY SURVEY required for all NEW construction. <br />)irections; <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requi�ed. (A/C upgrades over;7500j <br />' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br />)VER THE COUNTER PERMI7TING " (Front of Applica6on Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not ove�Counter if on public roadways..needs ROW � <br />