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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> • -- <br /> Owner's Name ,, �'t 6 � /�L`j Owner Phone Number �'� � ' ��V"�3� <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � / �D �O GC� 1J�' LOT# � <br /> SUBDIVISION ���"PQ�'� —� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK K � �sQ J' L/ <br /> BUILDING SIZE �--� SQ FOOTAGE� HEIGHT �� <br /> OBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> MECHANICAL $. . O VALUATION OF MECHANICAL INSTALLATION <br /> �y� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTNER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ReGisrEReo 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 �pN/�S �jLo erJ/� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N 7 <br /> Address License# ��G f y�9��—� <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Ptans;(1)set of Energy FoRns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Ptans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)comptete 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)worlcing 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 constructton. <br /> Directtons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicaHon,nota�ized <br /> If over 52500,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 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(PIoUSurvey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />