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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 <br /> Owner's Name �'/ �F }• �n Owner Phone Number / 7 <br /> Owner's Address Q � �✓n �` i'( Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS '(�J �j / I�G LOT# � <br /> SUBDIVISION � � ��, PARCEL 10# V./'��^�� � �S�"D��Q�� � <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R AD ALT 0 SIGN Q Q DEMOLISH <br />' INSTALL e EPA <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /v �M� � 16�L , / � (,(J �/(� Q(�,� <br /> BUILDING SIZE SQ FOOTAGE I� HEIGHT � <br /> �BUILDING $ ,. � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> .�� ��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> t <br /> II OGAS Q ROOFING � SPECIALTY 0 OTHER .��/ � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES 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 CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br />� SIGNATURE REGISTERED Y( N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# <br /> OTHER COMPANY / � � �6 <br /> II SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �� License# � !�� �� <br /> IIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllltllllll <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 subdivisionsflarge 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. <br /> II Minimum ten(10)working days after submiltal 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 application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> •• Agenl(for the contractor)or Power of Attomey(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 Upgredes A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />