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813-780-0020• . City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received 1— � "7_ ���� �� phone Contact for Permittln �1 3 7 7� _ 7..jd g <br /> Owners Name �l.l � �j Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number ��C1' ��(')� <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 1� I�J� T��n�1 iN ZC' h �'}< <`� � . -3��I''� LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � "� � '� ^ Z (e.1 Z. �G 7 CYIi S G Z • <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ .�.� 3�� �� VALUATION OF MECHANICAL INSTALLATION �, � � <br /> 2 �' <br /> OGAS Q ROOFING Q SPECIALTY 0 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# r— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL ('---1'�� COMPANY �2 �(�C� �CC 1 LI Q; 1 �o�SC�� ,L n,�- <br /> SIGNATURE �---' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� � Ze L� �z(.�, �; ^ ���3 License# �� (,� c�S �� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address 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)working 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 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 construction. <br /> Directions: <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 Attorney(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 />