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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — � -� �, phone Contact for Permitting ^ a�j -�Q�L <br /> Owner's Name Owner Phone Number • O��� <br /> Owner's Address �- � L� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS QC� ( '�` U S K. . ��I a' LOT# � <br /> SUBDIVISION t �'S , PARCEL ID# �3-ac�-�I - ��.�'���-���d /3•a� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE�� �:� (�a�, <br /> WORK PROPOSED NEW CONSTR ADDlALT � SI N � � DEMOLISH �c��.I� <br /> e INSTALL B REPAIR `� � ��� <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK E� �- � � � p-� c C �� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> �BUILDING $ C .•�- VALUATION OF TOTAL CONSTRUCTION <br /> J r.. <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ j��/!1 � ���I <br /> � <br /> i ( (J <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j Z�/� � �Id�Ti <br /> � f <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 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 /> Add�ess License# <br /> ` � L <br /> OTHER � C�.� �� COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURR Y/N <br /> Address � �� • �. 335� License# � ��J��i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 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 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 /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construcUon. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement ts required. (A/C upgrades over s7500) <br /> *' Agent(for the contractor)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 it on public roadways..needs ROW <br />