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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 �I ,1 �O�} '�"� Owner Phone Number 9� � ��j—(�� <br /> Owner's Address � (�3 ��U`�,• Owner Phone Number <br /> �y/ -3ao-�t7 q� <br /> Fee Slmple Titleholder Name Owner Phone Number �— <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS 3$7 U� �UG• LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM [_] OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK � � �u� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <br /> '�MECHANICAL $ �) � /,�.� VALUATION OF MECHANICAL INSTALLATION �� � 9 (p� <br /> Clv <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER , �',� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO 2 <br /> ���� � <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 . COMPANY �I YZ � cj£�U�S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# C-AC �g�`'� �� � <br /> OTHER COMPANY <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 Permit for new construction, <br /> Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 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&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 /> �-r����i��„����.�����.���������. <br /> a�� <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> "* Agent(for the contractor)or Power of Attomey(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 A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />