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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received . ho e ontact for Permittin __ <br /> Owner's Name C L� Owner Phone Number <br /> Owner's Address � "'� , Owner Phone Number —1 <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID�! <br /> (OBTIUNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 3 FOOTAGE C� HEIGHT C <br /> QBUILDING $ �/� VALUATION OF TOTAL CONSTRUCTION <br /> � Q <br /> QELECTRICAL $ AMP SERViCE 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� ��� � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATfONS 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 CURREP 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 Li <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 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 instailed, <br /> Sanitary FaciNties 8 1 dumpster.Site Work Permft 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 constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over;2500,a Notice of Commencement is requlred. (AIC upgradea over E7500) <br /> " Agent(for the contractor)or Power ot Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppNcation 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 />