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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name „P/ 4�—, Owner Phone Number <br /> ,/ z <br /> Owner's Address J 56 • C at - :•. er Phone Number 1 <br /> i��i-- <br /> Fee Simple Titleholder Name P'LO,�, POIKA . Owner Phone Number <br /> OF <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL n n REPAIR <br /> PROPOSED USE n SFR El COMM OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME STEEL n I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 1 SQ FOOTAGE HEIGHT <br /> I 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE PROGRESS EN <br /> nPLUMBING $ / <br /> ,ilr---1 MECHANICAL 111111111111111111111111111P VALUATION OF MECHANICAL INSTA TION l <br /> GAS illll� ROOFING n SPECIALTY OTHER // <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYE <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/N I <br /> Address License# i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURREN I VIN I <br /> Address I <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I V/N I <br /> assiss■sar.../. <br /> Address For,,,,,A,..„,„_ ense# <br /> / A i_ <br /> OTHER COMPANY .� r� /I� <br /> SIGNATURE / REGISTERED Y/ FEE CURREN I Y/N I <br /> Address ltg i r �� 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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(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 NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW . <br />