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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting W � — / 1� <br /> Owner'sName G. OwnerPhoneNumber � � lpJ��O� � <br /> Owner's Address � �1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � JOB ADDRESS LOT# �`/-� <br /> 1 SUBDIVISION � PARCEL ID# `[� ' " — <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e 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 \ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> . OBUILDING $� ��- �� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> II QPLUMBING $ <br /> f �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'Q�I <br /> � \Y <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � <br /> BUILDER • • � • •l��PANY• • • • • • • ' <br /> SIGNATURE � REGISTERED Y/ FEE CURRE� Y/ , <br /> Address ����3�lpf�icense# <br /> , ELECTRICIAN COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREI. Y/N <br /> IAddress License# , <br /> I <br /> ; MECHANICAL COMPANY <br /> i SIGNATURE REGISTERED 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 /> IIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllll'11111111IIIt1111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)se[of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/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. i <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> � Sanitary Facilities 8 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 required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> � " Agent(for lhe contractor)or Power of Attorney(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 A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> ' <br />� <br />