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8�3-�8°'°°2Q . City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3 �$ c�` �`3 �D � <br /> Phone Contact for Permittin <br /> Owner's Name Owner Phone Number �y��j�— <br /> Owner's Address —"�� V� Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,�p p��""t �� V LOT�! � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAtNED F�pROPERTY TAO rice!DEMOLISH <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ �, AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� /✓��� <br /> ( <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICI COMPANY AV ` �� � � <br /> SIGNATURE REGISTERED N fEE CURRE� Y/N <br /> Address � � a � <br /> 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 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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster;Site Work Permit for subdivlslonsAarge 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 /> 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 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 />