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813-780-002C1 City of Zephyrhills Permit Application Fax-813-78U-0021 <br /> Building Department <br /> Date Received � <br /> ; Phone Contact fo�Permittin _ <br /> Owner's Name 0 �� � f�� �r Owner Phone Number �l3� �f Z � b � <br /> Owner's Address (� � 1 Z ( � �rG� Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Add►ess <br /> JOB ADDRESS C ( { I� S �er-� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONS7R ADD/ALT �� SIGN [� O DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C ��Y � �' L l �� <br /> BUILDING SIZE � SQ FOOTAGE Z c c c � HEIGHT �( <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> f:1 t� � �I <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL �/��� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTNER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ,!y /., ��� � COMPANY 1 � b� e � �r'e� <br /> SIGNATURE ��� LL. REGISTERED 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 /> 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# <br /> RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wo�lcing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Pertnit for subdivlsfonsAarge 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 Facilitles&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 /> Dlrectfons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is requlred. (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 />