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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> : Building Department <br /> Date Recelved (..� �� _ <br /> Phone Con or P ittln <br /> Owner's Name Owner Phone Number <br /> Owner's Address .-� Owner Phone Number • <br /> Fee Slmple Titleholder Nam Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# ` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , NEW CONSTR ADD/ALT Q" SIGN Q Q DEMOLISH <br /> ,INSTALL � REPAIR <br /> PROPOSED USE SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE��. HEIGHT <br /> BUILDING $ VALUATION�OF TOTAL CONSl'RUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � b�ti� <br /> QPLUMBING $ , <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �" <br /> � � <br /> ^n,�,� u�/� <br /> OGAS Q ROOFING Q SPEGIALTY 0 OTHER � <br /> l�'�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY '� <br /> SIGNATURE ,�EGISTERED YI N ' FEE CURRE� Y/N <br /> ---<, <br /> Addre�s � `� LI se# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED / N . FEE CURRE� Y/N <br /> Address •� License# • <br /> RESIDENTIAL, Attach(2)Plot Plans;.(2)sets of:Building Plans;(1)set of EnergyForm's;R-O-W Pertnit for new construction, <br /> Minimum;ten(1,0).working days after,.submittal•date: Required onsfte,.Constiuction-Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilitles&1.dumpster Sfte Work Rertnit for subd(Visions/large pro)ects <br /> COMMERCIAL Attach(3)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. Requtred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliHes 8 1 dumpster.Site Work Permit for all new projeots.All commercial requirements must meet compliance <br /> SIGN PERMIT AttacH(2)sets of Engineered Rlans. , , <br /> "'•PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: _ - . <br /> Ffll out applicaUon completely. , <br /> Owner&Contractor sign back of applicaUon,notarized - _ <br /> If over g2500,a Notice of Commencement ts required. (AIC upgrades over b7500) <br /> " Agent(for tFie contractor)or Power of Aftoriiey_(for tFie owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT7ING ���„�,,(Front of Application•Only) - <br /> Reroofs if shingles Sewers � Service:Upgrades.A!C Fences.,(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on'public'roadudays.:needs ROW���"�� <br />