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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> J <br /> ' � - <br /> Date Received Phone Contact for Permittin — <br /> Owner's Name C� � �J 1� T Owner Phone Number � —� " � � <br /> Owner's Address � � � Ovvner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address - <br /> JOB ADDRESS v r� "v LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PItOPOSED NEW CONSTR ADD/ALT Q SIGN Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE .Y Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION _ Q q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �V�� ` r " l�/� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT . <br /> [�BUILDING $ �OG �� VALUATION OF'TOTAL CONSTRUCTION , <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBI[�IG $ �n� <br /> �t_ � <br /> QMECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION � V <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _.__----- COMPANY D�n��- <br /> SIGNATURE i — �� REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address License# <br /> ELECTRICIAN -, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# � <br /> PLUMBER COMP,ANY <br /> SIGNATURE ReGIS7EREo Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS,7ERED Y/ N FEE CURRE� � Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address License# <br /> RESIDENTIAL. Attach(2)Plot Plans;(2)sets of:Building'Plans;(1)set of Energy Forms;R-O-W Permit fo�new construct(on, <br /> Minimum.ten-(10),working:days.after.submittal date: Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&�1..dumpster SIte�Work-Pertnit for subdWisionsAarge projects _ <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 consUucUon. <br /> Minimum ten(10)woiicing days'after submittal date. Required onsite,Construc8on Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster.Site Work Pertnit for ail new"proJects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans.. • � <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FIII out applica8on completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized ' <br /> If over a2500,a Notice of Commencement i�requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attoiney_(for the.owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of.Application Only) , �- <br /> Reroofs lf shingles Sewers � Service Upgrades A/C � Ferices(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs�ROW �' � <br />