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�`� � + 813-780-OD20 City of Zephyrhills Permit Application Fax-813-780-0D21 <br /> Building Department <br /> , Date Received Phone Contact for Permi2ting -- <br /> Owner's Name � , � ✓ Owner Phone Numher �S�—9 T 'T� <br /> Owner's Address ' • Owner Phone Number <br /> Fee Simple Ti4leholder Name �v � 6wner Phane Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# � <br /> SUBDIVISION !`F' ► PARCELID# ' S'a�� �S�' ' D <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B N TALL�R e REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �� /�'/L.OD <br /> BUILDING SIZE SQ FOOTAGE EIGHT � <br /> QBUILDING $� � /3 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I � D � <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY S r <br /> 51GNATURE REGISTERED Y/ N FEE CUR E� Y/N <br /> Address Z/T � License# ��.���J <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <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 Ucense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I <br /> 1111111111111111111111111111111111111111111111111111111111111111111 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days efter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for su6divisions/large proJects <br /> COMMERCIAL Attach(2)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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"•PROPERTY SURVEY requlred for all NEW construction. <br /> Dlrectlons:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,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 authorizing same <br /> OVER THE COUNTER PERMIITING (wpy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />