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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 , � � /� Owner Phone Number �0 9 <br /> Owner's Address G� Owner Phone Number[ <br /> Fee Simple Titleholder Name Owner Phone Number[ <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ,�C1/t n.� � LOT# � <br /> SUBDIVISION /�, /�7 p �^ �_ �� �, � f PARCEL ID# , � ,� (D ;��/ OO :� U C_�O O OO� �� O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK �//� ( � �1/J,�,eyy�,�„�Cry� /yj�� 77"��— <br /> , <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT C� <br /> Q BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL �$ � AMP SERVICE O PROGRESS ENERGY Q W.R.E.0 <br /> � <br /> � PLUMBING �$ � � �� <br /> � <br /> [� MECHANICAL $��� C�l VALUATION OF MECHANICAL INSTALLATION �I � <br /> v <br /> 0 GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES I�NO � 2 3l 2 <br /> 7 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE C:URRENT Y/N <br /> Address License# —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE(:URRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL � � COMPANY fZ r'�,� � (� �U�2� /���- <br /> SIGNATURE REGISTERED N FEE CURRENT Y/N <br /> Address G� < <,� /�/ License# �/}C(� S�S �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE(:URRENT 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,Storrriwater P�ans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 comptiance <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$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />