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813-780-0020 City of Zephyrhills Permit Application Fax-a�a-�saoo2� <br /> , Building Department <br /> Date Received Phone Confact for Pertnitting <br /> Ownefs Name l Owner Phone Number <br /> Owners Address � �� Owner Phone Numher <br /> Fee Simple Tiqeholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS iJ Q �� � r� l LOT# � <br /> SUBDIVISION PARCEL ID# 'a 'VV�O� D �K/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW coNSra e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � GLO� I C U 1 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $�S�(,J <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br />� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N F�curu�n Y/N <br />' Address License# <br /> PLUMBER COMPANY � J U� � <br /> SIGNATURE r�cis�aEO Y N �cuw�n Y N <br /> Address ,w T License# l! ' !p <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuw�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuw�n Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIillllllllllllltlltlllllllllttlllllttllllltlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWc[ion, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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(10)working days after submittal date. Requi2d onsde,ConsWction Plans,Stormwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All wmmercial requirements must meet compiiance � <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&CoNractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over a7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />