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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 Permittin -- <br /> Owner's Name Owner Phone�(umber /�'�J�. —��/„�- <br /> Owner's Address � � Owner Phone Number ��� <br /> Fee Simple Titleholder Name Owner Phone Number C � <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS � / r — LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK � <br /> BUILDING 31ZE :�--� SQ FOOTAGE HEIGHT _] <br /> �BUILDING $ ��i��� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE , Q PROGRESS ENERGY �] W.R.E.C. <br /> %,u.����Z��'���-�`Z� <br /> OPLUMBING $ � i <br /> � �� ���-�5�� ,' � 1��� 1 <br /> OMECHANICAL $ VAC LUATION OF MECHANICAL INSTALLATION , <br /> ti� � / <br /> '�, <br /> QGAS Q ROOFING Q SPECIALTY � OTHER `�--�.__�,,,,-�`'`�, <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> � , p <br /> BUILDER COMPANY `f,�YJt�/i----- <br /> SIGNATURE °��C �j ; �'✓ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# C <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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# C <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,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Fadlit(es&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 Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon 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 requ(red for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over ST500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />