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. <br /> � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • . Building Department <br /> . <br /> '- Date Received phone Contact for Permitting <br /> F <br /> Owner's Name Owner Phone"Number � �� � r`���/ <br /> Owner's Address � ` Owner Phone Number <br /> Fee Simple i7tleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS I`t� J6 G �l JS LOT# � <br /> SUBDIVISION PARCEL ID# � � � ~�,! � U I �i '�-%�� �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED e NEWCONSTRB ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME. � STEEL Q <br /> DESCRIPTION OF WORK d �(J ' � �-G--� (v� � U <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> OBUILDING $ /$ 66� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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/N <br /> Address License it � <br /> PLUMBER COApPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWctlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stortnwater Plans w!Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Li(e Safety Page;(1)set of Energy Forms.R-O-W Permi[for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction 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 construclion. <br /> Di recdons• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />