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/ <br /> � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> : Building Department <br /> . IDate Received Phone Contact for Permltting_ �Z l.a.J� - <br /> �-rrrr-r-�� - -rr r <br /> IOwner's Name � � Owner Phone Number � — <br /> Owner's Address 1 Y� Owner Phone Number <br />' Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Tftleholder Address <br />, JOBADDRESS � LOT# � <br /> SUBDIVISION PARCEL ID# - - � �X! <br /> ,.,�,/ (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN 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 /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ , AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ± � <br /> MECHANICAL $` VALUATION OF MECHANICAL INSTALLATION ` �� <br /> \\�' <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br />� MECHANIC COMPANY � C <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �� .�nse# <br />�-, OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />� Illlllilllllllllllllllllllllllllllllilllllllltlllltllllllllllllllll <br />` RESIDENTIAL Attach(2)Plo[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,Conslruction Plans,Stortnwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge proJects <br />,� COMMERCIAL Attach(2)complete sets of 8uilding Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertni[fof new Conslruction. <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 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&Conlractor sign back of applicalion,notarized <br /> If over 52500,a NoNce of Commencement is requlred. (AIC upgrades over$7500) <br />� " Agent(for the contractor)or Power of Atlorney(for the ownerj would be someone with notarized letter from owner authorizing same <br /> I OVER THE COUNTER PERMIiTING (copy of contract required) <br /> I Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />