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. I , 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i Building Department <br /> IDate Received _ Q�' <br /> Phone Contact for Permitting � <br /> -rr� � <br /> • <br /> Owner's Name 7r1 � Owner Phone Num6er � ■ Q � , <br /> Owner's Address +h . Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS �h LOT# � <br /> SUBDIVISION pARCEL ID# <br /> I (OBTAMED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> IINSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> i <br /> DESCRIPTION OF WORK �,�d + / x <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �//� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J�% � (/ <br /> � ��' ?� �(�I � <br /> l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER ��(� Z�� <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 /> I <br /> Address License tt �—� � <br /> � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# � <br /> MECHANICAL COMPANY U�+��i+r Cor���i��+i� <br /> � <br /> ISIGNATURE � REGISTERED Y/ N FEE CURRE� Y/= <br /> Address VC• ����License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 I 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 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 1 I 1 1 I 1 1 ' <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum len(10)working days after submitlal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sels of Building Plans plus a Life Safety Page;(1)set o(Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit tor all new projects.Ail commercial requirements 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 appiication completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with nolarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> � <br /> Driveways-Not over Counter if on public roadways,.needs ROW � <br /> i <br />