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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> „ Building Department <br /> Date Received .. � --� �i Phone Contact for PermitUn (.�l ��� – �� <br /> Owne►'s Name �°' �• �� Owner Phons Number � • �-�� (j <br /> Owne�'s Addresa r� J r� Ow�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Y ���� t C. �.�`.� � LOT# C� <br /> SUBDIVISION � PARCEL IDAt I I • 2-(sr L( • ���� - 1 rj��� - lX��� <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � � ���,� <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK % �' � � �.�'k-�� "��L-l�c�-1� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> OBUILDING $ � — VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0 <br /> QPLUMBING $ ��� � <br /> ( ' f <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Ci� ROOFING Q SPECIALTY � OTHER <br /> T"'1 <br /> FINISHED FLOOR ELEVATIONS FLOOO 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 /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —1 <br /> i � n <br /> SIGNATURE � p� �•��z-, COMPANY �l,�'�c: c � ' '1 <br /> REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address �Z( I�: �J,��J�-( License# � 1 �j <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perm)t for new oonstrucGon, <br /> M1nlmum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Fadiities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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,Constructlon Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities 8 1 dumpste�.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 consVuction. <br /> Directfons: <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over i2500,a Notice of Commencement fs required. (AIC 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 /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foohage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />