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��� <br /> `�' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Parmitting - <br /> Owner's Name � ��� Owner Phone Number <br /> Owner's Addr s � � /�- � <br /> Owner Phone Number <br /> Fee Sienple Titleholder Name �- Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS LI � G�-e � ��� '`/ � ^ � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEw CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q ' SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DE3CRIPTION OF WOR�K � � <br /> �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 46UILDING $ /,'�1O VALUATION OF TOTAL CONSTRUCTION <br /> VU <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � � �03�� <br /> QPLUMBING $ �� � f �J(�-� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �f�' �� � �, <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO -'� �� �` ���'�� � <br /> ���"J ����\��� <br /> BUILDER COMPANY ��`� <br /> SIGNATURE �- REGISTERED Y/ N FEE CURRE� Y/N � "�� <br /> Address Llcense# " ►°- �� <br /> ELECTRICIAN COMPANY <br /> �� <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/iV <br /> Address License# <br /> OTHER COMPAtdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster;Slta 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,ConsUuction Plans,Stortnwater Plans wl Silt Fence installed, <br /> _ ---- - - - Sanitary FaciliUes&1 dumpster.Site Work Permit for all new projects.Ail commercial requlrements must meet complfance <br /> V 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> "•'PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: <br /> FIII out applicaUon completely. <br /> Owne�8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over�7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizin,g_same...w>�. " <br /> OVER THE COUNTER PHRMITTiNG (Front of ApplicaGon Only) , -' - ` . ,, _ <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) . -- "'' "� '� • , • �:, <br /> : ...: <br /> Driveways-Not over Counter if on public roadways..needs ROW � „,,, ., ��• ��� '° �� <br />