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8�s-�ao-oo20 � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> n <br /> �; _ ; Building Department �i ��� <br /> �i � <br /> \ <br /> Date Received J } Phone Contact for Permitting — <br /> Owner's Name �') i ' Owner Phone Nuinber ,� � �� � <br /> i <br /> Owner's Address 1 �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# C--� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> f (� 2 <br /> DESCRIPTION OF WORK r � �`'�������� � v� ��`�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT , <br /> QBUILDING $ �__� VALUATION OF TOTAL CONSTRUCTION <br /> V <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , .. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION " <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> � . <br /> BUILDER � COMPANY <br /> SIGNATURE G� REGISTERED Y/ N FEE CURRE� Y/N <br /> J <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 CURREt� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ° License# <br /> OTHER COAAPANY , <br /> SIGNATURE REGISTERED 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 /> Minimum ten(10)working•days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster;Site VVork Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit 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 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 /> Dlrectlons: � <br /> Flll out application completely. <br /> Owner&Contractor slgn back of application,notarized <br /> If over 52500,a Notice of Commencement is requirad. (A/C upgrades over$7500) <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 Senrice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />