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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � Building Department <br /> �/ r <br /> Dat�Received �� � I Phone Contact for Permittin 'J��L 2�� _ � � r <br /> tiu + � <br /> Owner's Name � t� Owner Phone Number '� ��'�`� <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name �— Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , D r L T Z, I C � � � LOT# � <br /> SUBDIVISION , PARCEL ID# O�. 2(,� Z� -b�ZD_ t vb- r:a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Rc �� ., �/�.� W i� �13 j J, (3�� . Qr�. C <br /> e <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> Q'B�UILDING $ � ,.,7�� � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.Q� <br /> QPLUMBING $ r .�I� (/� � � <br /> �/ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��Z�L-� <br /> �GAS [� ROOFING Q SPECIALTY � 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/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ic se# <br /> � <br /> OTHER COMPANY "' � �L 2,p �,� �.�.� <br /> SIGNATURE •--�, ` REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License�t �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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 construcGon. <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 construcGon. <br /> rt�re����ri�r����r����r��� <br /> Directions. " "+'+'`'" �lu�' <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement ls 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 /> ,. m.. <br /> OVER THE COUNTER PERMITTING (Front of Applioation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Eences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />