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r . 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - •— Phone Contact for Permittin __ <br /> --1- <br /> Owner's Name Owner Phone Number <br /> Owner's Address �{ / V` Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7' �✓�' LOT# �� <br /> SUBDIVISION PARCELID# S � -/✓���—��p���-���',� <br /> (OBTAtNED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/AlT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �f� G� ��' - �/�? � ��/�� /aij O � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY �] W.R.E.0 <br /> QPLUMBING $ <br /> �MECHANICAL $ /)�► VALUATION OF MECHANICAL INSTALLATION <br /> � �l/ <br /> QGAS Q ROOFING Q 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/ 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 c /]� �� <br /> COMPANY C{� //(�'�l �O �� �� <br /> SIGNATURE �� REGISTERED Y/ N FEE URRE� Y!N <br /> Address r //��� License# � � / <br /> OTHER � C MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(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/Si�t Fence installed, <br /> Sanitary Facflltles 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 construction. <br /> Directlons: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of application,notartzed <br /> If over E2500,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 nota�ized letter from owner aulhorizing same � <br /> OVER THE COUNTER PERMITTING (Front of AppllcaUon Onfy) <br /> Reroofs if shingles Sewers ServiCe Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Driveways-Not over Counter if on publlc roadways..needs R0111( , , '" ° <br />