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I <br /> . 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> . ,� <br /> Date Received O ` Phone Contact for Permitting � — \ 1 <br /> — � <br /> \ / <br /> Owner's Name �1.� { Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple T(tleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# � <br />� SUBpIVI310N PARCEL ID# <br />� ,.�;',, <br /> (OBTAINED FROM PROPERTV TA%NOTICE) <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT � SIGN Q 0 DEMOLISH � <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK �J�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ ' � A� / <br /> � �` � <br /> �MECHANICAL $ � /� VALUATION OF MECHANICAL INSTALLATION � <br /> �`' /j^ �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �J � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> S v <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 /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />, Address License# <br /> MECHANICAL COMPANY ..` � ��� 1 � <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address �\ � License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater 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 of Energy Forms.R-O-W Permit for new conslruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 required for all NEW construclion. <br /> Directions: <br />� Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contracto�)o�Powe�of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ' <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> i Driveways-Not over Counter if on public roadways..needs ROW <br /> 1 I <br />