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813-780-0020 Cify of Zephyrhills Permit Application Fax;813-780-0021 <br /> Building Department _ , " <br /> Date Recelved Phone Contact for Permittin — <br /> Owner'a Name Owner Phone Number <br /> Owner's Address ! � V � Owner Phone Number ' <br /> Fee Simple Titleholder Mame • Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS - LOT# � <br /> SUBDIVISION ' PARCEL ID# " <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEW CONSTR B' ADD/ALT Q SIGN� Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE , Q SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK T Q FRAME Q E <br /> DESCRIPTION OF WORK �— <br /> BUILDING SIZE SQ FO E�, HEI T <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION _ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO � <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/Pl <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/N <br /> Address Lice # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED / FEE CURRE� Y/N <br /> Address ' License# ° <br /> RESIDENTIAI:, Attach(2)Plot�Rlans;(2)sets_of Building'Plans;(1)sef of�Energy�Fortns;R-0=W Permit for new construc6on, _ <br /> _ Minimum,ten�(1,0);working days afte[,submittal ilate. Requlred onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> � Sanitary FacillUes&;1;dumpster,Site Work�Rermit for su6diVisionsAarge pro)ects - ° <br /> COMMERCIAL Attach(3j�bomplete'sefs'of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R O-W Permit for new construotion. <br /> Mintmum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence.installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Attach"(2)sets of'Eriginee[ed Pians.;,: �� <br /> '""`PROPERTY SURt1EY reguired for ail NEW construction. <br /> Directlons: ` <br /> Fill out applicadon etely. . , 3 <br /> Owner&Contracto g�n back of a4�plfcaUon,notarized � <br /> If over 52500,a Notice o�'6oramehcement is required. (AIC upgrades over 57500) � <br /> " Agent(for ttie contra6tor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same� <br /> DVER THE COUNTER.PERMITTING (Front of Application Only) . <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />