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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received p`7 '� � � � Phone Contact for Permittin -- <br /> Owner's Name � r Owner Phone Number �;3 � <br /> Owner's Address - , ��� � �� �3 Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> /� -., � <br /> JOB ADDRESS � (,' ��� � � � � �� � LOT# <br /> SUBDIVISION PARCEL ID# O ` b����– D r' � D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q C] DEMOLISH _ <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � E e �`AZ,-t' ��C �JS <br /> BUILDING SIZE �— SQ FOOTAGE '7(�L/..f HEIGHT <br /> BUILDING (' $ �!1�jL O(2 ,,� VALUATION OF TOTAL CONSTRUCTION <br /> \ o� l J' <br /> , <br /> QELECTRICAL $ �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ;��f 1��U� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO <br /> �� . <br /> OGAS Q ROOFING � SPECIALTY 0 OTHER " "°'�""°"�""� <br /> FINISHED FLOOR ELEVATIONS FLOOD 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 J N fEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY ��e�t n p Ci'� �IC dA � y� ' <br /> SIGNATURE � REGISTEREO 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 Pennit for new construction, <br /> Minimum ten(10)worlcing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitfes 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 8�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 consUucUon. <br /> Directtons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over:2500,a Notice of Commencement is required. (A/C upgrades over S75U0) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter f�om owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />