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4,, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildfng Department <br /> Date Recelved phone Contact for Permittin <br /> / � Owner's Name � � I Owner Phone Number � `� <br /> Owner's Address \V • I Owner Phone Number <br /> ' Fee Simple Titleholder Name I Owner Phone Number <br /> I <br />� Fee Simple Titleholder Address I <br /> JOB ADDRESS O I \�+ - LOT# � <br /> SUBDIVISION �, ��� PA ICELID# — �2, � ���OO <br /> , I (OBTAINED FROM PROPERTYTA%NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH I <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK '—' �•� ` <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> I <br />' QBUILDING $ VALUAI�ION OF TOTAL CONSTRUCTION <br /> / � <br /> ' QELECTRICAL $ AMP SEIRVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> il � <br /> QGAS Q ROOFING Q SPi CIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br />� BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> - <br /> i PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> / � I <br /> � Address I License# ' <br /> � <br /> MECHANICAL COMPANY • � 1�� I <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address J • � License# �(� I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I <br /> Address I License# <br /> IIIIIIIIIIIIIIi111111111111t1i1111111i1I1111i1111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1� set of Energy Forms;R-O-W Pertnit for new construction, . <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(70)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permij 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 /> Dlrections:• <br /> Fill aut application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Nollce of Commencement Is requlred. (A/C upgrades over$7500) <br /> i � " Agent(far the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authorizing same <br /> ' OVER THE COUNTER PERMIITING (Front of Application Onl�) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Countei If on public roadways..needs ROWI <br />