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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 — <br /> Owner's Name � ' `` �p� f�� �1� �� b l �� Owner Phone Number (J��.J?_ �S�'Z' — f/l� <br /> Owner's Address <br /> �3��0/.� G���,�^�� ���`� Owner Phone Number <br /> Fee Simple Titlehotder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��'-9�'U �'��`sj w �v � LOT# � <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��K� n u �� �� �� u�l� ���� �`S �s �1 r N`'W 4~�� � ,`� ✓I <br /> Y � + <br /> �L <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ �OQ� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � <br /> �:� �� <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER G� ,J�. �� COMPANY <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y/N <br /> Address ,3�� � l ��i�G�'!7 Gv �t' �Y 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 /> Address Llcense# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bultding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onslte,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Worfc Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildl�g Plans plus a Life Safety Page;(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 all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*'"PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (A!C 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 if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />